Online LEA Membership Form

Are you an LCPS Employee?*

Yes! I am ready to join my union.No, I do not work for the school system. I am a community supporter of LEA.

LEA membership is only available for employees of the Loudoun County Public School system. But don't worry! There are still quite a few ways you can get involved in our work to #PutKidsFirst and advocate for the schools our community deserves.

Fill out the survey below and we'll contact you about opportunities to get involved. Thank you!
First Name*
Last Name*
Best Contact E-mail*
Best Contact Number*

Area CodePhone Number
Phone Type*

HomeMobileWork
Community Role*

ParentBusiness Community MemberFaith Community MemberCommunity Organization MemberPTA/PTO/PTSA Member

Great! Please fill out the form below to join:
First Name*
Middle Name
Last Name*
Gender

FemaleMale
Cell Phone*
Home Phone
Work Email*

Confirmation Email
Personal Email*

Confirmation Email
Work Location*
Position*
Work Location - Other
Subject/Grade Level
Receive Text Messages

Yes!No, thank you
Date of Birth (please tab to enter Month/Day/Year fields)*

MonthDayYear
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PID Number*
Last 4 digits of your Social Security Number*
I am a new employee for LCPS.I am a First Year Teacher this year.
I was a student VEA member last year.
Ethnic Minority Information (Optional)

African AmericanAmerican Indian/Alaska NativeAsianCaucasianHispanicMulti-EthnicNative Hawaiian/Pacific IslanderUnknown/Unidentified
Membership and Dues (based on a biweekly payroll schedule)*

Full-time certified -- $26.85 per payrollPart-time certified -- $13.87 per payrollFull-time classified (ESP)-- $14.21 per payrollPart-time classified (ESP) -- $7.65 per payrollSubstitute -- Please contact the LEA Office at (703) 858-7700 for more information.
Please note, if you receive LCPS benefits, you are considered a full-time employee.
Dues Payment*

Cash pay authorization: I prefer to pay my dues with a one-time annual payment. A check payable to Loudoun Education Association is attached for the full amount of my annual dues. I understand that my membership will not automatically renew and I will be invoiced each year.
Dues Payment*

Payroll deduction authorization: I hereby authorize LCPS Payroll to deduct Loudoun Education Association dues in equal installments from my paycheck. This authorization shall remain in effect from year to year, for dues amounts determined by the Association, until revoked in writing to LCPS Payroll and the Association by the 15th of the month for which it is my obligation to settle any unpaid balances directly with the Association. Furthermore, I authorize Loudoun County Public Schools to notify the Association of any change in my work location, address or name.
LEA/VEA/NEA representation will be available only if you are a member at the time of the incident. Prior or current investigations, issues, events, and concerns are not covered by LEA.

By providing my phone number, I understand that the National Education Association and its affiliates, including the Virginia Education Association, the local Association, NEA Member Benefits, and NEA360, may use automated calling techniques and/or text message me on my cellular phone on a periodic basis. The National Education Association, the Virginia Education Association, and the local Association will never charge for text message alerts. Carrier message and data rates may apply to such alerts. Text STOP to 787753 to stop receiving messages. Text HELP to 787753 for more information.
Initial to agree to the terms above.*
Who should we thank for referring you to LEA?
Electronic Signature*
Today's Date*

MonthDayYear
Date

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