Scranton Federation of Teachers

AFT Local #1147

Membership Application

I hereby request and accept membership in the Scranton

Federation of Teachers, and do hereby authorize it, its

agents or representatives, to act for me as a

collective bargaining agency in all matters pertaining

to rates of pay, wages, hours of employment, and other

conditions of employment, and to enter into contracts with

my employer covering all such matters.

Date_______________________Home Phone_______________

Signature_____________________________________________

Print Name Here_______________________________________

Home Address_________________________________________

City__________________________State_________Zip________

School(s)______________________________________________

Number Years in Scranton School District? __________________