Employee ID Number (required)

I am interested in volunteering for my Association
YesNo

Contact Information

Your Name (required)

Street Address

City

State
AlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyoming

Zip Code

Home Phone

Cell Phone (required)

Your Personal Email (required)

Ethnicity

Gender
FemaleMale

Work Site Information

Work Site (required)

Position

Subject Taught

Grade Level

Your Work Email (required)

Additional Information

T-Shirt Size

Are you registered to vote?
YesNo

Would you like information on the free college program?
YesNo

Payment Options

Payroll Deduction. I hereby agree to pay and authorize my employer to deduct the dues and assessments described below as are certified by the Association to the School Board for each year thereafter from my salary and direct and authorize my employer to pay such amounts to the Association in accordance with payroll deduction procedures in effect; provided, however, I may cancel my membership and this authorization by completing the official OCEA Drop form and submitting it to the Association notifying them of such revocation as provided by law.

Cash Member. I hereby agree to pay to the Association the dues and assessments described above and as may be prescribed by the Association and certified to the School Board for each year thereafter. Payment is due by September 1, 2022.

Choose one of the following (required)
Payroll DeductionCash Member

Payroll Deductions (20 Checks)

Instructional - F/T - $32.28 Per paycheck / $645.60 Cash
Non-Instructional - All ESP = $16.52 Per paycheck / $330.40 Cash

Choose one of the following (required)
Cash MemberPayroll Deduction - Instructional F/TPayroll Deduction - ESP

Signature of Acceptance

Electronic Signature (required)

Signature Date (required)

Recruiter Information

Recruiter Name

Recruiter Work Site

OCEA is not able to represent a new member for an event or situation which occurred prior to the membership application being processed. Members are responsible for payment of dues when on leave of absence or FMLA