Providence Teachers Union - AFT Local #958, AFL - CIO Learning
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Member Information Update

MEMBER INFORMATION:
*Member Name:
*School / Worksite:
*Assignment:
  (Subject Area and/or Grade [elementary teachers])
MAILING ADDRESS:
*Home Address:
*City:
State: Zip:
Alternate Address:
City:
State: Zip:
From:        To:
Preferred Mailing Address (AFT communications only):
Home     Worksite     Alternate
TELEPHONE / E-MAIL COMMUNICATION:
*Home Phone:
Cell Phone:
Pager:
E-mail:
LEVEL OF EDUCATION:
Bachelors Bachelors + 30  
Masters Masters + 30 Doctorate

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