I wish to be represented by SUPA as my sole and exclusive collective bargaining representative for all matters relating to wages, hours and other terms and conditions of employment.
I hereby apply for membership in the Statewide University Police Association (SUPA) and agree to abide by the Constitution and Bylaws and written policy of the Association at any level and authorize my employer to deduct from my salary and pay to SUPA the periodic dues or other deductions for services provided by or through SUPA. If an increase or decrease in dues or other deductions is adopted by SUPA, this authorization shall include the then-established dues or other deductions and no new authorization shall be required.
I HEREBY AUTHORIZE MY EMPLOYER TO DEDUCT FROM MY SALARY AND PAY TO SUPA THE DUES AMOUNT INDICATED BY SUPA. I FURTHER AUTHORIZE SUPA TO REQUEST THAT MY EMPLOYER DEDUCT FROM MY SALARY THE DUES AMOUNT INDICATED BY SUPA. THIS AUTHORIZATION SHALL REMAIN IN FULL FORCE AND EFFECT UNTIL I HAVE SUBMITTED A CANCELLATION NOTICE IN WRITING TO SUPA.
*NOTE:Your SUPA membership in good standing for purposes of establishing voting rights and eligibility to hold SUPA offices will not commence until the first of the month after the first payroll deduction has been taken, unless cash payment for the interim period is remitted with this application.