Jamaica Teacher's Association Membership Application

ASSOCIATE, STUDENT AND RETIRED

FULL NAME
(Mr./Mrs./Miss/Dr.)

NAME of INSTITUTION

ADDRESS

PARISH

TRN

TEACHER’S No. /EMPLOYMENT No.

HOME ADDRESS

PARISH

CONTACT No.:

EMAIL

QUALIFICATION

ANNUAL FEES
ASSOCIATE $2000STUDENT $200RETIRED $200

OPTIONAL FOR ASSOCIATE MEMBERS ONLY

Please cause the amount of $2000.00 or such sums as may be approved by conference from time to time to be deducted from my salary annually for payment to the Jamaica Teachers ’Association in respect of membership fees. [ ]

This authority will remain in force unless cancelled by the joint signatures of myself and the Secretary General of the Jamaica Teachers’ Association.

Signature of Applicant

Date

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