SEIU Healthcare Illinois & Indiana





Membership Application - Yes, I want to join with my fellow child care workers in organizing to win higher compensation, benefits, improved working conditions and quality care. I hereby voluntarily apply for and accept membership in SEIU Healthcare Illinois & Indiana (“Union”) and voluntarily designate it as my exclusive representative in collective bargaining for compensation, hours, benefits and working conditions.

I accept all the rights, responsibilities and benefits of Union membership. I also acknowledge my right to be or remain a nonmember.

I authorize and direct the State of Illinois to deduct from my earnings every pay period the periodic dues, assessments, and service fees established by the Union, and direct that such amounts be forwarded to the Union, including any dues or fair share fees that have previously been deducted and paid in that manner. This authorization and direction will remain in effect until revoked by me in writing. This authorization is not conditioned upon my present or future membership in the Union.

Contributions or gifts to SEIU Healthcare Illinois & Indiana are not tax deductible as charitable contributions. However, they may be tax deductible as ordinary and necessary business expenses.