This is a New Application form or an Application for reinstatement.
Please do not use this form to renew your current membership.
Name__________________________
Address_______________________
City__________________________ State _________ Zip code ____________
Daytime Telephone (_____)______________________
Institution_____________________________________
Academic Field and Rank_________________________
Tenured yes no
Full-Time: Teacher/researcher or similar academic appointment at an accredited college or university.
Entrant: Nontenured faculty, new to AAUP. (Limits: Four years at 50% Full-Time dues rate, then next three years at 75% Full-Time dues rate)
Part-Time: Faculty receiving no more than 50% of the salary of a full-time faculty member.
Joint: Couples in the full time category may enroll a 2nd member at the joint rate.
Associate: Primarily Administrative Duties.
Graduate: Persons enrolled as graduate students at an institution (5 year limit.)
Public: Public supporters not eligible for any of the above

$_____ National* & Conference Dues
$_____ Chapter Dues

My check (payable to: AAUP) is enclosed for $______
Please charge $______ to Mastercard Visa
Card No._____________________________________________________
Exp. date________________________________
Signature_________________________________________