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KNEA Membership Application- AD ASTRA UniServ
KNEA Membership Application- AD ASTRA UniServ
2020 - 2021 Active Professional / ESP Digital Membership Application
23Questions
AD ASTRA KNEA Membership Application
  • 1

    Please complete this form and review the terms of membership prior to providing a digital signature.  Membership status is conditional upon verification of eligibility and the included digital signature. 

    Please refer to the dues card provided by a KNEA representative to review dues OR you can choose to review NEA / KNEA dues once you submit this form. You can also request dues information by emailing us at info@knea.org.  You will be contacted with membership details (including full dues obligation) once eligibility, application information, and digital signature have been confirmed. 

    All information will be transmitted through a SECURE and ENCRYPTED connection.  The entire application will take about 10 minutes to complete. Progress cannot be saved, so please complete the entire form once you begin.  Click 'next' to continue.

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  • 2
    Select the ONE membership type that best matches your employment status. If you are unsure, we can help verify your employment status later.
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  • 3
    Please tell us your first and last name.
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  • 4
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  • 5
    Please Select
    • Please Select
    • United States
    • 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
    • Curacao
    • 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
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    • 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
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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  • 6
    We require a personal phone number where we are most likely to reach you. We will only use the number you provide to contact you for official KNEA / NEA purposes.
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  • 7
    We will use this email to communicate with you to verify membership and for association business.
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  • 8
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  • 9
    This information is optional and will be kept confidential.
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  • 10
    Pick a Date
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  • 11
    This is optional and will be kept confidential.
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  • 12
    For example: NEA-Topeka, leave blank if you are unsure.
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  • 13
    Click the down arrow on the right of the box to scroll and select the district where you are employed.
    • Abilene USD 435
    • Altoona-Midway USD 387
    • Allen Community College
    • Andover USD 385
    • Argonia USD 359
    • Arkansas City USD 470
    • Ashland USD 220
    • Atchison County USD 377
    • Atchison USD 409
    • Attica USD 511
    • Auburn-Washburn USD 437
    • Augusta USD 402
    • Baker Univserity
    • Baldwin City USD 348
    • Barber County North USD 254
    • Barnes USD 223
    • Barton Community College
    • Basehor-Linwood USD 458
    • Baxter Springs USD 508
    • Bazine USD 304
    • Belle Plaine USD 357
    • Beloit USD 273
    • Overland Park-Blue Valley USD 229 (Johnson County)
    • Randolph-Blue Valley USD 384 (Riley County)
    • Bluestem USD 205
    • Bonner Springs USD 204
    • Brewster USD 314
    • South Brown County USD 430
    • Bucklin USD 459
    • Buhler USD 313
    • Burlingame USD 454
    • Burlington USD 244
    • Burrton USD 369
    • Butler Community College
    • Caldwell USD 360
    • Caney Valley USD 436
    • Canton-Galva USD 419
    • Cedar Vale USD 285
    • Central Heights USD 288
    • Central USD 462
    • Central Plains USD 112
    • Centre USD 397
    • Chanute USD 413
    • Chaparral USD 361
    • Chapman USD 473
    • Chase County USD 284
    • Chase USD 401
    • Chautauqua County USD 286
    • Cheney USD 268
    • Cherryvale-Thayer USD 447
    • Chetopa-St. Paul USD 505
    • Cheylin USD 103
    • Cimarron-Ensign USD 102
    • Circle USD 375
    • Clay County USD 379
    • Clearwater USD 264
    • Clifton-Clyde USD 224
    • Cloud County Community College
    • Coffeyville USD 445
    • Coffeyville Community College
    • Colby USD 315
    • Colby Community College
    • Columbus USD 493
    • Concordia USD 333
    • Conway Springs USD 356
    • Copeland USD 476
    • Cowley Community College
    • Crest USD 479
    • Cunningham-West Kingman County USD 332
    • De Soto USD 232
    • Deerfield USD 216
    • Derby USD 260
    • Dexter USD 471
    • Dodge City Community College
    • Dighton USD 482
    • Dodge City USD 443
    • Doniphan West USD 111
    • Douglass USD 396
    • Easton USD 449
    • El Dorado USD 490
    • Elk Valley USD 283
    • Elkhart USD 218
    • Ell-Saline USD 307
    • Ellinwood USD 355
    • Ellis USD 388
    • Ellsworth USD 327
    • Emporia USD 253
    • Emporia State University
    • Erie-Galesburg USD 101
    • Eudora USD 491
    • Eureka USD 389
    • Fairfield USD 310
    • Flinthills USD 492
    • Fort Larned USD 495
    • Fort Hays State University
    • Fort Leavenworth USD 207
    • Fort Scott USD 234
    • Fort Scott Community College
    • Fowler USD 225
    • Fredonia USD 484
    • Frontenac USD 249
    • Galena USD 499
    • Garden City USD 457
    • Garden City Community College
    • Gardner-Edgerton USD 231
    • Garnett USD 365
    • Girard USD 248
    • Goddard USD 265
    • Goessel USD 411
    • Golden Plains USD 316
    • Goodland USD 352
    • Graham County USD 281
    • Great Bend USD 428
    • Greeley County USD 200
    • Grinnell USD 291
    • Halstead-Bentley USD 440
    • Hamilton USD 390
    • Haven USD 312
    • Haviland USD 474
    • Hays USD 489
    • Haysville USD 261
    • Healy USD 468
    • Herington USD 487
    • Hesston USD 460
    • Hiawatha USD 415
    • Hillsboro USD 410
    • Highland Community College
    • Hoisington USD 431
    • Holcomb USD 363
    • Holton USD 336
    • Hoxie USD 412
    • Hugoton USD 210
    • Humboldt USD 258
    • Hutchinson USD 308
    • Hutchinson Community College
    • Independence USD 446
    • Independence Community College
    • Ingalls USD 477
    • Inman USD 448
    • Iola USD 257
    • Jayhawk USD 346
    • Jefferson County North USD 339
    • Jefferson West USD 340
    • Jetmore USD 227
    • Johnson County Community College
    • Junction City USD 475
    • Kansas City USD 500
    • Kansas City Kansas Community College
    • Kansas School for the Deaf
    • Kaw Valley USD 321
    • Kingman-Norwich USD 331
    • Kinsley-Offerle USD 347
    • Kiowa County USD 422
    • Kismet-Plains USD 483
    • Labette County USD 506
    • Labette Community College
    • La Crosse USD 395
    • Lakin USD 215
    • Lansing USD 469
    • Larned USD 495
    • Lawrence USD 497
    • Leavenworth USD 453
    • Lebo-Waverly USD 243
    • Leoti-Wichita County USD 467
    • LeRoy-Gridley USD 245
    • Lewis USD 502
    • Liberal USD 480
    • Lincoln USD 298
    • Little River-Windom USD 444
    • Logan USD 326
    • Louisburg USD 416
    • Lyndon USD 421
    • Lyons USD 405
    • Macksville USD 351
    • Madison-Virgil USD 386
    • Maize USD 266
    • Manhattan-Ogden USD 383
    • Marais des Cygnes Valley USD 456
    • Marion USD 408
    • Marmaton Valley USD 256
    • Marysville USD 364
    • McLouth USD 342
    • McPherson USD 418
    • Meade USD 226
    • Mill Creek Valley USD 329
    • Minneola USD 219
    • Mission Valley USD 330
    • South Gray USD 371
    • Morris County USD 417
    • Moscow USD 209
    • Moundridge USD 423
    • Mulvane USD 263
    • Nemaha Central USD 115
    • Neodesha USD 461
    • Neosho Community College
    • Ness City USD 303
    • Newton USD 373
    • Nickerson-South Hutchinson USD 309
    • North Jackson USD 335
    • North Lyon County USD 251
    • North Ottawa County USD 239
    • Northeast USD 246
    • Northern Valley USD 212
    • Norton USD 211
    • Oakley USD 274
    • Oberlin USD 294
    • Olathe USD 233
    • Onaga USD 322
    • Osage City USD 420
    • Osawatomie USD 367
    • Osborne USD 392
    • Oskaloosa USD 341
    • Oswego USD 504
    • Otis-Bison USD 403
    • Ottawa USD 290
    • Ottawa University
    • Oxford USD 358
    • Palco USD 269
    • Paola USD 368
    • Paradise USD 399
    • Parsons USD 503
    • Pawnee Heights USD 496
    • Peabody-Burns USD 398
    • Perry USD 343
    • Phillipsburg USD 325
    • Pitt State University
    • Pike Valley USD 426
    • Piper USD 203
    • Pittsburg USD 250
    • Plainville USD 270
    • Pleasanton USD 344
    • Prairie Hills USD 113
    • Prairie View USD 362
    • Pratt USD 382
    • Pratt Community College
    • Pretty Prairie USD 311
    • Quinter USD 293
    • Rawlins County USD 105
    • Remington USD 206
    • Renwick USD 267
    • Republic County USD 109
    • Riley County USD 378
    • Riverside USD 114
    • Riverton USD 404
    • Rock Creek USD 323
    • Rock Hills USD 107
    • Rolla USD 217
    • Rose Hill USD 394
    • Royal Valley USD 337
    • Rural Vista USD 481
    • Russell USD 407
    • Saint Francis USD 297
    • Salina USD 305
    • Santa Fe Trail USD 434
    • Satanta USD 507
    • Scott County USD 466
    • Seaman USD 345
    • Sedgwick USD 439
    • Seward Community College
    • Shawnee Heights USD 450
    • Shawnee Mission USD 512
    • Silver Lake USD 372
    • Skyline USD 438
    • Smith Center USD 237
    • Smoky Hill USD 302
    • Smoky Valley USD 400
    • Solomon USD 393
    • South Barber County USD 255
    • South Central USD 300
    • South Haven USD 509
    • Southeast USD 247
    • Southeast of Saline USD 306
    • Southern Cloud USD 334
    • Southern Lyon County USD 252
    • Spearville USD 381
    • Spring Hill USD 230
    • St. John-Hudson USD 350
    • Stafford USD 349
    • Stanton County USD 452
    • Sterling USD 376
    • Stockton USD 271
    • Sublette USD 374
    • Sylvan-Lucas USD 299
    • Syracuse USD 494
    • Thunder Ridge USD 110
    • Tonganoxie USD 464
    • Topeka USD 501
    • Triplains USD 275
    • Troy USD 429
    • Turner USD 202
    • Twin Valley USD 240
    • Udall USD 463
    • Ulysses USD 214
    • Uniontown USD 235
    • University of Kansas
    • Valley Center USD 262
    • Valley Falls USD 338
    • Valley Heights USD 498
    • Vermillion USD 380
    • Victoria USD 432
    • Wabaunsee USD 329
    • Waconda USD 272
    • WaKeeney USD 208
    • Wallace USD 241
    • Wamego USD 320
    • Washington County USD 108
    • Washburn University
    • Wellington USD 353
    • Wellsville USD 289
    • Weskan USD 242
    • West Elk USD 282
    • West Franklin USD 287
    • Western Plains USD 106
    • Wheatland USD 292
    • Wichita USD 259
    • Winfield USD 465
    • Woodson USD 366
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  • 14
    What building or facility are you primarily assigned to? For example: 'Jones High School', 'Truman Elementary School', 'district office' or 'facility services'.
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  • 15
    For example: teacher, ESP, SPED, ESL, RSP, principal, etc. Enter "unsure" if you do not know what to enter in this field.
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  • 16
    For example: art, music, history, math, etc.
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  • 17
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  • 18
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  • 19
    Student members are a category of membership for college / university pre-service educators.
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  • 20
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  • 21
    NOTE: You will not be charged until we have verified your membership and you will be provided with a full summary of local, state and national dues prior to your first dues withdrawal. If you elect to have dues deducted from your personal bank account via EFT, we will send you the appropriate forms.
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  • 22

    MEMBERSHIP COMMITMENT AND ANNUAL PAYMENT AUTHORIZATION:  

    I hereby request and voluntarily accept membership in the National Education Association, Kansas National Education Association, and the local association and agree to abide by the Constitution and Bylaws of all three associations. In consideration for services provided by these associations, I hereby agree to pay the annual dues, fees, and assessments established by these associations. I understand that those annual dues are subject to periodic change. If paying such dues and assessments by payroll deduction, I authorize the Board of Education to deduct such amounts from my salary.  The payment of those annual amounts shall continue, regardless of membership status, unless I revoke this authorization in a signed writing provided to the local association between August 1 and August 31 of the membership year immediately preceding the membership year for which the authorization is to be canceled.  I understand that this agreement is voluntary and not a condition of employment. I have the legal right to refuse membership without suffering any reprisal. 

    Note: You will be provided with a link to download and print these terms upon submission of this membership application.

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  • 23
    On a computer, use your mouse or touchpad to sign. On a tablet, phone or touchscreen, use a stylus pen or your finger to sign.
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