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NEA Student Rebate Form

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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: studentrebate@nea.org

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)
COLLEGE OR CHAPTER & STATE
   
   
   
   

SIGNATURE: __________________________________________ DATE: __________________


PRINT, DETACH & MAIL OR EMAIL PRIOR TO: MAY 1, 2022 DEADLINE

  1. 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.
  2. 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.
  3. Rebates will be issued for $20 for each year of NEA Student membership up to four years.
  4. 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 studentrebate@nea.org.
  5. ​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.