Alief AFTSE Member Issue Form

Are you a member of Alief AFTSE?

Only members of Alief AFTSE are eligible to receive services from Alief AFTSE

Date of joining Alief AFTSE ( if known)

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?

What time is your planning period (if applicable)

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:

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