Anoka Hennepin Independent School District 11 Payroll Dues Deduction Authorization
I want to be an active member of the Anoka-Hennepin Paraeducator Association that represents me and hereby authorize Anoka-Hennepin District 11 to deduct dues from my wages. I understand that revocation of this authorization and withdrawal from prior membership requires a 90 day notice.  Revocation must be in writing and delivered to an AHPA Officer to be effective.

Dues are .75% of your pay.  (75 cents for every $100).  AHPA is an independent, non-partisan labor union.  All of our dues go directly to running the Association and representing our members.


Email *
Legal Name (First Last) *
Phone Number (mobile/home) *
Check what type of paraeducator you are. If not listed please add to other. *
Required
School or Program *
Please check the cluster your school or program is in. *
If you are not sure click here, https://ahparas.com/clusters/
Required
Employee # (If you know it.)
I agree to have the para dues deducted from each paycheck. By checking yes, I authorize the dues to be deducted from each paycheck. *
Typing your name below will be your signature to this authorization. *
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Anoka-Hennepin School District. Report Abuse