2021-2022 Student Membership Rebate Application
Download PDF of the form listed below.
Complete form and mail OR email on or before May 1, 2022 to:
| NEA Business & Financial Services Attn: Student Rebate 1201 16th Street, NW, Ste. 410 Washington, DC 20036-3290 |
Or email: [email protected] |
SOCIAL SECURITY NUMBER (Last 4): ______________ (We MUST have this number)
FIRST & LAST NAME: ________________________________________________
FORMER LAST NAME, IF APPLICABLE: _________________________________
ADDRESS: _________________________________________________________
CITY, STATE, ZIP:____________________________________________________
I certify that 2021-2022 is my first year of Active membership eligibility and I am an NEA Active member.
My Local Affiliate is: ___________________________________________________
My State Affiliate is: ___________________________________________________
Below is a record of my former student membership:
|
YEAR(S) A MEMBER (e.g. 2009-2012)
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COLLEGE OR CHAPTER & STATE |
SIGNATURE: __________________________________________ DATE: __________________
PRINT, DETACH & MAIL OR EMAIL PRIOR TO: MAY 1, 2022 DEADLINE
- 2021-2022 must be your first year of educational employment and you must hold NEA Active membership. Substitute members are not eligible for the rebate.
- The application must be completed by May 1, 2022. Be certain to provide ALL requested information. Checks will be sent from NEA in August of 2022.
- Rebates will be issued for $20 for each year of NEA Student membership up to four years.
- Verification of your membership will be made by NEA and a rebate check will be mailed to you to the address on the application in August 2022. If your address changes before August 2022, please send the updated address to [email protected].
- NEA will not contact you prior to mailing your rebate check unless additional information is required. Do not submit multiple applications. This could delay processing.