Wufoo

UFT Professional Committees

Enrollment Form
Fields with an * is required

Which committee are you interested in joining?
Contact Information

First Name: *

Last Name: *

Status: *
In-service UFT Member Retired UFT Member Other Professional Organization

File or EIS Number (if applicable)

Non-DOE Email Address

This is a required field unless you do not have a personal email address.

Home Address: *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Phone: ### - ### - ####

Fax: ### - ### - ####

School Data

Please fill out the applicable information including the subject or area that you teach or assist.

School Level:
Elementary IS/JHS/MS High School District 75

School:

Subject (for Secondary School Educators):

District:

Borough:

Would you like to play an active role on this commiittee?
Yes No

Do Not Fill This Out

Wufoo

UFT Professional Committees

Contact Information

School Data