Jeffco ESPA Membership Form

Please review the membership rates below and provide the requested information.

JESPA monthly dues are determined by your primary job title and whether you are full or part-time.
Jefferson County Association of Paraprofessionals (does not include paraeducators)
Full-time: $20.50/month
Part-time: $15.50/month
($0.50 is transmitted to sub-association)
Jefferson County Schools Food Services Association:
260-day Full-time: $36/month
Less than 260-day Full-time: $31/month
Less than 260-day Part-time: $21/month
Food Service Hourly: $16/month
($1.00 is transmitted to sub-association)
Jefferson County Maintenance Association:
Full-time Maintenance/Landscape: $63/month
Full-time Mechanics: $62/month
($3.00 is transmitted to sub-association)
Jefferson County Association of Education Office Professionals (includes paraeducators):
260-day Full-time:  $46/month
Less than 260-day Full-time: $41/month
Less than 260-day Part-time: $31/month
($1.00 is transmitted to sub-association)
Jefferson County Support Services Association:
Full-time Facility Managers / Head Custodians: $52/month
Full-time Custodians: $37/month
Part-time Custodians: $22/month
($2.00 is transmitted to sub-association)
Jefferson County Transportation Association:
Full-time: $45/month
Part-time: $35/month
($5.00 is transmitted to sub-association)
Jefferson County Security Association:
260 day Full-time: $42/month
Less than 260 day Full-time: $37/month
($2.00 is transmitted to sub-association)

Enter your first name.
Enter your middle initial.
Enter your last name.
Enter your employee ID
Who invited you to join JESPA?
Please fill out the following contact information fields:
Enter your home email address
Enter your home street address
Enter your apartment number, if you have one.
Enter your home city.
State
Enter your home Zip Code.
Enter your home phone number.
Enter your cell phone.
Please fill out the following information regarding you job:
Enter your work location.
How many hours do you work per day?
What is your job title?
Do you work a second job in the district?
Enter your second job title.
How many hours do you work in your second job?
Select your sub association.
How do you want to pay for your dues?
Bank Name
Enter your bank routing number - 9 Digits
Are you a U.S. Citizen?
Optional. Mark all that apply.
I hereby designate JESPA to collect monthly amounts automatically through Payroll Deduction or Electronic Funds Transfer (EFT) from my designated account to satisfy my annual dues obligations to JESPA and the sub-association that represents my job classification. If I have elected EFT - in the event that EFT cannot be processed, I authorize JESPA/Jefferson County Public Schools to deduct dues payments from my paycheck on a monthly basis. In the event of my termination, I am responsible for notifying JESPA. This Authorization and Assignment is irrevocable for the calendar year in which it is approved, and shall remain in continuous effect without the need for renewal for each subsequent calendar year thereafter unless and until revoked by me. Revocation can only be made by my personal appearance at the JESPA office and my execution of a withdrawal form between November 15 and November 30 during regular office hours of any calendar year after my initial calendar year. In the event that the amount of annual dues obligations is changed, the amount to be transmitted to JESPA through Payroll Deduction and EFT shall be correspondingly changed. Additionally, if my status, job, and/or hours change, I acknowledge that JESPA will adjust my dues payment accordingly. I am responsible for notifying JESPA of such changes in a timely manner. By submitting below, I acknowledge all of the above information.
I agree with the above text?