Apr 10, 2007 11:10 AM
United
Federation of Teachers
Local
2, American Federation of Teachers, AFL-CIO
52
Broadway, New York, NY 10004
(212)
777-7500
Pursuant to applicable law, I assign to the United Federation of Teachers (UFT) from my compensation as an employee of the Consortium for Worker Education (hereinafter called "my employer") eighty-five hundredths of one percent (.85 of 1%) of my gross pay or such different amount as UFT and I authorize in writing, and direct my employer to withhold this sum from the compensation due me each month and remit it to the UFT.
I submit this assignment and authorization with the understanding that it will be effective and irrevocable for a period of one year from this date or up to the termination date of the current Collective Bargaining Agreement between my employer and the UFT, whichever occurs sooner.
This authorization and assignment shall continue in full force and effect for yearly periods beyond the irrevocable period set forth above and each subsequent yearly period shall be similarly irrevocable unless revoked by me within the 30 day period preceding expiration of such irrevocable period. Such revocation shall be effected by simultaneous written notice by registered or certified mail to my employer and the UFT which must be delivered within such 30-day period.
The assignment and authorization are effective at once.
Date_______________
Employee Signature_________________________