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AFSCME MD Membership
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AFSCME 3 Membership Application
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State Employee
University System of Maryland Employee: (BSU, CSU, FSU, SSU, TU, UB, UMB, UMBC, UMCP, UMES, UMUC)
Non-University System of Maryland Employee: (BCCC, MSU,SMCM)
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New Member: $16.30 FT
New Corrections Member: $20.30 FT
Legal Defense Fund $4.00 (per pay period)
AFSCME members who work with “wards of the state” may be eligible to participate in the Legal Defense Fund (LDF). These positions include but may not be limited to correctional officers, juvenile services workers, parole and probation agents and some social workers. For more information about LFD eligibility call 410.547.1515, x 240.
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Chad
Chile
China
Christmas Island
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Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
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Cuba
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Cyprus
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Denmark
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France
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Gabon
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Georgia
Germany
Ghana
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Turkish Republic of Northern Cyprus
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Palau
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Panama
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Saint Helena
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Saint Lucia
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7
Agency, Job Title
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Work Site
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Work Site Address
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City
State / Province
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Barbados
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Belgium
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Bermuda
Bhutan
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Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
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Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
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Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
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eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
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Tristan da Cunha
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Turkey
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Uganda
Ukraine
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
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I, the undersigned, hereby apply for membership in and designate the American Federation of State, County, and Municipal Employees, AFL-CIO, as my duly chosen and authorized representative on matters relating to my wages, hours and conditions of employment in order to protect my economic welfare. Please consider this your authority to deduct from my salary or wages an amount certified by said Union as my regular current bi-weekly dues. The amount deducted shall be paid to AFSCME MD, or as you may be directed. In accordance with its bylaws I acknowledge that these dues and or payments can be amended. This deduction will begin on the next available pay period upon receipt of this form at the State Central Payroll Bureau and will continue until written notice to change or cancel is submitted by me on a new authorization card. Dues, contributions or gifts to AFSCME are not deductible as charitable contributions for Federal Income Tax purposes.
I accept these terms
I give my permission to AFSCME 3 to use my photo in print and online communications and social media.
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Type your name.
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Date
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16
Local Union Number (If Known)
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AFSCME is a union that is run by the members. We are more effective and influential when we work hard and work together. If you would like to get more involved in union activities, please check the areas you would be interested in.
Attend Rallies
Attend Local Meetings
Attend an Introduction to the Union Training
Receive email updates about pay raises and contract
Represent Co-Workers
Solve Workplace Issues
Talk to Legislators
Receive mobile alerts about pay raises and contract
Other
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18
How did you find out about AFSCME?
Email from AFSCME MD
Other
A co-worker / site leader
AFSCMEMD.org
AFSCME MD Social Media (Facebook)
Union Organizer
Email from AFSCME MD
Other
A co-worker / site leader
AFSCMEMD.org
AFSCME MD Social Media (Facebook)
Union Organizer
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