DCTA Online Registration

Please fill out the form below to become a member of DCTA.

First Name*

Last Name*

Employer ID#

Date of Birth*

Last 4 of SSN

School or Work Place*

Job Title*

Address*

Address Line 2

City*

State*

Zip*

Phone Number*

Type

Personal Email Address*

DPS Email Address*

Ethnicity (optional)

 American Indian/Alaska Native Asian/Pacific Islander African-American/Black Hispanic/Latino Multi-Racial Caucasian Other

First year in teaching?*

 Yes No

Are you a U.S. citizen?*

 Yes No

 I authorize the deduction of $69.52 per month for dues required to the Denver Classroom Teachers Association, Colorado Education Association, and National Education Association.

 I affirm that I have read and agree to the full agreement terms.

Read full agreement terms.

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