I apply for membership in the Fairfax County Federation of Principals, Supervisors, and Administrators
(FCFPSA), Local 147 of the American Federation of School Administrators, AFSA, AFL-CIO. I acknowledge my position with Fairfax County Public Schools is part of the administrator/supervisor bargaining unit.


I understand this authorization card can be used by the FCFPSA to support a petition for a certification election filed under Section 8 of the Fairfax County Public Schools Collective Bargaining Resolution. I hereby authorize FCFPSA and any successor organization to represent me for the purpose of collective bargaining. FCFPSA and any successor will act as my exclusive bargaining representative with respect to compensation, benefits, working conditions, professional learning, professional voice, and other permissible subjects for bargaining, pursuant to applicable law.


I recognize there will be opportunities to provide input into topics that will be discussed in contract talks and will have full voting rights to approve of any collective bargaining agreement, officers of the organization, and other topics put out to a membership vote.


This authorization is binding and shall automatically renew from year to year unless revoked in writing to FCFPSA between June 15 and June 30 of each year.


With this application, I agree to abide by the rules and policies of FCFPSA. I hereby consent, authorize, and direct my Employer to deduct from my salary each pay period the membership fee amount certified by the FCFPSA. I authorize my employer to remit such amount to the FCFPSA monthly based upon my pay periods. I understand the current membership fee stands at .4% of my salary.


I know that this application, collective bargaining authorization and membership fee authorization is voluntary and not a condition of my employment.