2024-25 TCTA MEMBERSHIP APPLICATION

2024-25 MEMBERSHIP APPLICATION

Complete this form to authorize payroll deduction of TCTA membership dues during the 2024-25 school year. For other payment options, please go to tcta.org/join.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Personal Email:*
example@example.com
School Email:
example@example.com
Phone Number*
Birth Date*

MonthDayYear
Which email address should we use for eUpdate and other important communications?*

Personal emailSchool email
Position Held:*

TeacherCoachCounselorLibrarianDiagnosticianSchool NurseSpeech PathologistParaprofessionalTeacher's AideOther
Grade Level:*
Select the grade or set of levels that best applies to your position.
School District: Please select your district from the list below.*
Campus:*
Please type the full name (Austin High School, not Austin)
Primary Subject Taught:
Ethnicity:*
Is this your first time to join TCTA?*

YesNo
If you know your TCTA member number, please enter it here.
Six-digit number found on your membership card. If your number is 4 or 5 digits, add zeros before it to make a 6-digit number. Ex. 002021
ACTIVE MEMBER | $175/year

Open to a public school employee who is employed as a classroom teacher, counselor, librarian, diagnostician, speech pathologist, social worker, school nurse, athletic trainer, coach, or other nonsupervisory professional whose position does not require an administrative certificate; or anyone who holds a bachelor’s degree, is pursuing teacher certification, and is a salaried teacher in a Texas public school. Eligibility requires direct involvement in the instruction of students and regular employment in a Texas public school or in a state-supported institution of higher learning in Texas.
FIRST-TIME ACTIVE MEMBER | $110/year

Open to an individual eligible for Active membership who is joining TCTA as an Active member for the first time.
ASSOCIATE MEMBER | $85/year

Open to a teacher’s aide, paraprofessional, educational secretary or substitute teacher employed by a public school district.
Select the appropriate membership category to match your job for the 2024-25 school year. Please note, payroll deduction is not available for retired or student members, and may not be available for part-time district employees, such as substitute teachers.*
Local Affiliate Dues. TCTA has 132 local affiliates that collect dues to support local member events and scholarships. If you are in a district with a local affiliate, the dues have been added to the box below and will be included in your total payroll deduction due to TCTA.
ACT FOR TCTA

ACT For TCTA is the political action committee for the Texas Classroom Teachers Association. The fund is supported through voluntary contributions. Through ACT, TCTA members can combine forces to make significant political contributions to education-friendly candidates for legislative and state-level offices in Texas. Every donation counts! ACT For TCTA is a well-respected force in Texas election campaigns.
How much would you like to contribute to ACT For TCTA? (Select amount):*
GO GREEN | Membership includes a mailed copy of The Classroom Teacher Magazine.

Save paper and send me a digital version of the magazine.
TAKE 2/MAKE $25 | If a TCTA member asked you to join, please enter their TCTA member number in the box below so they receive credit for eligible members. If you don't know their number, please type their name and district in the box.
PROFESSIONAL LIABILITY INSURANCE

TCTA members (other than retired members) are covered by up to $8 million in professional liability insurance with $2 million for civil rights coverage. The policy period begins on August 1 of the current year or upon the effective date of membership, whichever is later, and continues until the following July 31 unless the membership is terminated prior to that date. As with comparable policies, the coverage is for lawsuits against an insured member in a covered employment-related civil suit not arising from criminal conduct. Coverage for attorney fees in criminal cases is limited to $15,000, except in cases involving sexual indecency with a child, which are limited to $10,000. The policy covers up to $5,000 for bail bonds. All coverage is subject to the terms of the policy. The coverage included with membership for Active, Associate and Student members is provided by a wholly owned subsidiary of Nationwide® with an A.M. Best Rating of A+XV (superior). The coverage is provided through a purchasing group, and the insurer may not be subject to all insurance laws and regulations of the state.
EFFECTIVE DATE OF COVERAGE

Legal services, as determined appropriate by the legal staff, are available only to members regarding employment-related matters arising after the effective date of membership. Your membership and professional liability insurance coverage (if provided for your membership category) for the 2024-25 school year become effective on Aug. 1, 2024, or when your completed application and full payment, or a signed payroll deduction authorization and required payments, are received at TCTA headquarters, whichever is later.
PAYROLL DEDUCTION AUTHORIZATION

Your authorization form must be signed and dated, and you must join TCTA in the appropriate membership category to receive professional liability insurance coverage.
I authorize the school district noted below to deduct TCTA membership dues from my paycheck in equal payments to cover the TOTAL DUE TO TCTA as outlined below.*
TOTAL DUE TO TCTA*
This is the total amount to be deducted during the membership year. It will be divided into equal payments by your district's payroll office.
My signature on this form, electronic or otherwise, authorizes the Texas Classroom Teachers Association (TCTA) to submit this form to my employer on my behalf. This authorization will remain in effect annually, in the amount indicated by TCTA, including any increase, until I request in writing that the deductions cease. I may revoke my membership at any time, resulting in the immediate termination of deductions and membership benefits.
Signature*

Clear
Date:*

MonthDayYear
Date
Employee Identification Number (this helps your district set up deductions):
I wish to cancel payroll deduction of membership dues for:

ATPETSTATexas-AFTOther
Should be Empty:

2024-25 MEMBERSHIP APPLICATION

ACTIVE MEMBER | $175/year

FIRST-TIME ACTIVE MEMBER | $110/year

ASSOCIATE MEMBER | $85/year

ACT FOR TCTA

PROFESSIONAL LIABILITY INSURANCE

EFFECTIVE DATE OF COVERAGE

PAYROLL DEDUCTION AUTHORIZATION