Public Sector Membership Application

2019 Monthly Dues Rate for Bargaining Unit Membership*

Full-time HGEA Bargaining Unit Employee (21 or more regular work hours per week):

Units 2, 3, 4, 6, 8, 9, 13 or 14 ................. (.008 x straight-time monthly salary + $13.65 AFSCME Affiliation fee)

Part-time HGEA Bargaining Unit Employee (20 regular work hours per week):

Units 2, 3, 4, 6, 8, 9, 13 or 14 ................. (.008 x straight-time monthly salary + $10.15 AFSCME Affiliation fee)

*Subject to change.

Applicant Information

Required fields are marked with an asterisk*

Applicant Information

 Male Female Other

Contact Information

Please enter either a home or mailing address.*

Please enter either a home phone or cell phone number.*

**By providing your cell phone number you consent to receive calls (including recorded or autodialed calls, or texts) at that number from AFSCME/HGEA and its affiliated labor, political and charitable organizations on any subject matter. Your carrier’s rates may apply. You may modify your preferences by emailing service@hgea.org or calling the Union at (808) 543-0000.

If no Home Email Address is entered, you will not receive an email confirmation that your online application was received.

Work Information

Enter n/a for Employer/Department if you are retired or unemployed.

Confirmation

Please review the information you have entered below. If you would like to change any information, click the Back button to go back to previous pages.

Applicant Information

 

Contact Information

 

Employment Information

 

I hereby apply for membership in the Hawaii Government Employees Association, AFSCME Local 152, AFL-CIO (hereafter “HGEA”) and I agree to abide by its Constitution and Bylaws. I authorize HGEA and its successor or assign to act as my exclusive bargaining representative for purposes of collective bargaining with respect to wages, hours and other terms and conditions of employment with my Employer.

Effective immediately, I hereby voluntarily authorize and direct my Employer to deduct from my pay each pay period, regardless of whether I am or remain a member of HGEA, the amount of dues certified by HGEA, and as they may be adjusted periodically by HGEA, and to authorize my Employer to remit such amount to HGEA.

This voluntary authorization and assignment shall be irrevocable, regardless of whether I am or remain a member of HGEA, for a period of one year from the date of execution, and for year to year thereafter unless I give HGEA written notice of revocation within thirty (30) days before the anniversary of the date of execution. This card supersedes any prior check-off authorization card I signed.

I recognize that my authorization of dues deductions, and the continuation of such authorization from one year to the next, is voluntary and not a condition of my employment.

Payments to HGEA are not deductible as charitable donations for federal income tax purposes. However, state law may extend favored tax treatment.

Check here if you agree to the above statements.*

Please enter your signature:*

and the last 4 digits of your SSN:*