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Join CAPS, UAW Local 1115 Today

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*1.

Please provide the following:

Note: By providing your mobile number, you agree to receive occasional text messages from CAPS, UAW Local 1115. Message and Data Rates may apply.

First Name and Middle Initial
Last Name
Home Address
Address continued
City
State
Zip Code
Last 4 digits of your Social Security Number
Cell Phone Number. Message and Data Rates may apply.
Personal Email Address

2.

WORK Address:

Street Address
Work Address cont.
City
Zip Code
Work Phone
Work Email Address

3.	Referred by, if applicable:

*4.	I hereby apply for membership in California Association of Professional Scientists (CAPS), UAW Local 1115 and designate CAPS, UAW Local 1115 as my exclusive representative for all matters relating to wages, hours, and other terms and conditions of employment for all other purposes provided by law. I authorize the State Controller to deduct from my salary and transmit as designated an amount for membership dues and any benefit program for which I have applied which is sponsored by CAPS, UAW Local 1115. This authorization will remain in effect until canceled by myself or by CAPS, UAW Local 1115 subject to the provisions of the Unit 10 Memorandum of Understanding which may limit the time period for withdrawal of membership. I understand that termination of membership will cancel all deductions made under that authorization. Please initial below to indicate your agreement. Your application is not valid without initials.

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