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Benefits > Join us > Retired membership > apply-continuous

CONTINUOUS RETIRED MEMBERSHIP

APPLICATION FOR RETIRED MEMBERSHIP
EDUCATION MINNESOTA

An affiliate of the American Federation of Teachers, the National Education Association and AFL-CIO.

Please note that items marked with an asterisk (*) indicate a required field.
* First name:
* Last name:
* Address:
* City:
* State:
* Zip Code:
* Primary phone (home or cell):
Secondary phone:
* Home email:
* Date of birth (mm/dd/yyyy):	Date and time
* Educator:	TeacherESP
* Gender:	FemaleMaleTransgender FemaleTransgender MaleGender Expansive/Non-ConformingOther
Ethnicity:	American Indian/Alaska native (01) Black (03) Hispanic (04) Caucasian (not of Spanish origin) (05) Asian (06) Native Hawaiian/Pacific Islander (07) Multi-ethnic (08) Other (09) Unknown (UK)
* First year of employment as an educator:
* Age at retirement:
* Official retirement date (mm/dd/yyyy):	Date and time
* Name of local retired from:

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