Membership Enrollment Form Use the form below to join GAE or renew your annual membership enrollment. Items marked with a star (*) are required. Membership InformationOnline IDWhat type of member are you? * RequiredActive Professional Certified Full-TimeActive ESP Full-TimeStudentWork InfoGAE Student Program Online registration is administered by our national affiliate, the National Education Association. Click on the link below to be directed to their site to complete the online enrollment by credit card. Membership Form (Online)School DistrictSelectIf you do not see your school district in this list, it is unavailable to participate in the online enrollment process at this time. To join, please contact the GAE membership department at (678) 837-1100.School or Worksite * RequiredSelectIf your school is not listed, leave blanklocal associationSelectYour local association isPositionSelectAdministratorBldg/Gmd Main/Repair SrvsClassroom TeacherCoachCounselorCurriculum SpecialistFood ServicesHealth & Student ServicesLibrarian/Media SpecialistOtherParaeducatorReading SpecialistSecretary/Clerk/Admin ServicesSecurity ServicesSocial WorkerSpecial/Develop EdSpeech/Hearing TherapistTechnical ServicesTransp/Delivery/Vehicle MechanicsUnknownSubjectSelectAdult Basic EducationArtBasic Ed CurriculumBasic Skills & Remed EdBusiness educationCoachingCommunicationsComputer & Info ScienceDistributive Ed/Co-OpDriver's EdEarly Child DevelopEnglish as a Second LanguageEnglish/Lang ArtForeign Language/LitGeneral SubjectsHealth & Physical EducationHome EconomicsIndustrial ArtsLaw EnforcementMathematicsMusicNo Subject TaughtOtherReadingReligion/PhilosophyScienceSocial Studies/Social SciencesSpecial Ed/Development EdSpeech & DramaVocational & Tech EdMembership DuesGAE annual membership dues include the following refundable contributions: 1. Georgia Association of Educators Foundation - $2 for Active Certified members and $1 for Active Education Support members. GAE Foundation contributions fund educational scholarships and grants to members and potential educators and are tax deductible as charitable contributions. 2. Georgia Association of Educators-Fund for Public Education (GAE-FPE) - $6 for Active Certified members and $3 for Active Education Support members. GAE-FPE contributions are used for political purposes and are not tax deductible. GAE Foundation and GAE-FPE contributions are voluntary and members have the right to a refund of these contributions. Send your request for refund of GAE Foundation and/or GAE-FPE contributions in writing to GAE Membership Processing at the address shown below. NEA, GAE, and local association membership dues are not deductible as charitable contributions. Dues payment (or a portion) may be deductible as a miscellaneous itemized deduction. Six percent (6%) of GAE membership dues is attributable to lobbying expenses and is not tax deductible.NEA Annual Dues Price: $0.00 GAE Annual Dues Price: $0.00 Local Annual Dues Price: $0.00 Total Dues (Annual) $0.00 Your Prorated Membership Dues for OctoberYour total membership dues were prorated for 1 month because you're joining in OctoberYour Prorated Membership Dues for NovemberYour total membership dues were prorated for 2 months because you're joining in NovemberYour Prorated Membership Dues for DecemberYour total membership dues were prorated for 3 months because you're joining in DecemberYour Prorated Membership Dues for JanuaryYour total membership dues were prorated for 4 months because you're joining in JanuaryYour Prorated Membership Dues for FebruaryYour total membership dues were prorated for 5 months because you're joining in FebruaryYour Prorated Membership Dues for MarchYour total membership dues were prorated for 6 months because you're joining in MarchYour Prorated Membership Dues for AprilYour total membership dues were prorated for 7 months because you're joining in AprilYour Prorated Membership Dues for MayYour total membership dues were prorated for 8 months because you're joining in MayYour Prorated Membership Dues for JuneYour total membership dues were prorated for 9 months because you're joining in JuneYour Prorated Membership Dues for JulyYour total membership dues were prorated for 10 months because you're joining in JulyYour Prorated Membership Dues for AugustYour total membership dues were prorated for 10 months because you're joining in AugustPersonal InfoSalutationMrs.MissMr.Dr.First Name * RequiredMiddle NameLast Name * RequiredAddress * Required Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Social Security # * RequiredDate of Birth - must be mm/dd/yyyy format Date Format: MM slash DD slash YYYY Date of birth and ethnicity are optional and not a requirement of membershipEthnicitySelectAmerican Indian/Alaska NativeAsianBlackHispanicCaucasian (not of Hispanic origin)Nativ Hawaiian/Pacific IslanderMulti EthnicOtherUnknownDate of birth and ethnicity are optional and not a requirement of membershipPrimary Phone * RequiredPhone Type * RequiredSelectMobileHomeWorkPagerOtherSecondary PhonePhone TypeSelectMobileHomeWorkPagerOtherPersonal Email * Required Enter Email Confirm Email Work Email Enter Email Confirm Email Payment OptionsPayment MethodCredit Card (Visa or MasterCard Only)Easy Pay / Electronic Bank DraftPayroll DeductionCredit Card Authorization * Required American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name Bank Name * RequiredBank Routing # * RequiredAlso called Bank Transit NumberBank Account # * RequiredChecking or Savings Account NumberMonthly Payments ($)Enter how much you would like to pay each pay periodNumber of Payments(Charges are debited on the last business day of each month)Start Date - must be mm/dd/yyyy format Date Format: MM slash DD slash YYYY Voided CheckAccepted file types: jpg, jpeg, gif, png, pdf, bmp, tiff.To expedite the enrollment process please upload a photo of voided personal check (if possible)Terms of ServiceTerms of ServiceI hereby apply for continuous membership in GAE/NEA and the local association (if available). I understand that I have signed a binding contract to pay the total annual dues for the current membership year and each year thereafter. I may revoke this authorization only by written notification to GAE, my local association and employer (if applicable) by September 30 of each year. I agree to the Terms of Service Last 4 of SSN * RequiredYour IP AddressToday's Date - must be mm/dd/yyyy format Date Format: MM slash DD slash YYYY Electronic Signature * Required