Are you a member of Alief AFTSE? * - Select -I certify that I am a paying member of Alief AFTSEI am not able to certify that I am a paying member of Alief AFTSE Only members of Alief AFTSE are eligible to receive services from Alief AFTSE Date of joining Alief AFTSE ( if known) Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 First Name * Last Name * Mailing address, City, State & Zip Code Campus * Home phone number * If you do not have a home phone number enter "N/A" Cell phone number * If you do not have a cell phone number enter "N/A" Work phone number * Home (non-work) e-mail address * Work e-mail address * What is your job title or positon title? * What time is your lunch period? Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm What time is your planning period (if applicable) Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm How many years have you been employed in the DISTRICT? * How many years have you been at your current CAMPUS? * Contract type (select one) * Probationary contract 1 Year Term contract Continuing Contract At-Will Employee (no contract) History of write-ups or discipline as it pertains to your current issue: * Describe the situation, issue, or incident that you are concerned about: * Leave this field blank
