Membership Information Form

Formulaire de Renseignements d'adhésion

Important: Long term substitutes DO NOT need to complete this form.

To open an account, you must fill out this form so your information can be added to the Membership Registry. Please allow time for your form to be processed.

Professional Number:

Personal Information

First Name:

Last Name:

Commonly Used Name:

Pronouns:

Do you identify as a member of an equity deserving group?

Yes

Prefer not to answer

If yes, please identify the equity deserving group:

Date of Birth:

Month:

Date:

Year:

Contact Information

Mailing Address Line 1:

Mailing Address Line 2 (optional):

City:

Province:

Postal Code:

Preferred (non-employer) Email Address:

Save this email address as my preferred email to receive NSTU communications

Phone Number:

Type:

Can the NSTU share your phone number with a company contracted to contact you by text message on behalf of the NSTU?

Yes

If yes, please indicate which phone number should be used for text messages:

Can the NSTU share your phone number with a company contracted to provide telephone town hall services on behalf of the NSTU?

Yes

If yes, please indicate which phone number should be used for town hall services:

Professional Information

Teacher Certification:

Contract Status:

Position:

Assignment:

Primary School/Site:

Alternate School/Site:

The information supplied on this form is for the sole purpose of enabling the Nova Scotia Teachers Union to communicate information directly related to the business of the NSTU and of interest to teachers.
This information will not be shared with any other person or organization.
By submitting this form you have authorized the NSTU to retain the above information for the described purposes.