ESMAB

Educational Support & Management Association of Broward, Inc


Membership Benefits


  • Quick Access to Executive Director

  • Expert Retirement Information

  • Scholarships for Members' Offspring

  • Voting Member of the Superintendent's Insurance and Wellness Committee

  • One Hour of Legal Assistance with Executive Board Apporval





ESMAB Membership Application

First Name:

Last Name:

Personnel Number

Position

Location

Direct Office Phone#

(

Mobile Phone#

SBBC Email Address:

Date of Birth (ex. March 16th)

Administrative Assistant (Secretary) Name


CONTACT INFORMATION

Street Address:

Apt#

City:

State:

Zip Code:

Personal Email Address:

Home Phone#


Authorization for Dues Check-Off

I hereby authorize the School Board Broward County (SBBC) to deduct dues from my salary for professional associations in accordance with the SBBC ESMAB plan as shown below. This authorization shall remain in effect for all purposes while I am employed by the SBBC or until revoked by me in writing upon thirty (30) days written notice to the SBBC



Customer's Signature 


11/22/2019


Signature

Date

  

Per Check for 20 Checks

Total

ESMAB

$10.00

$200.00

If you have any questions, call (954) 850‐1321

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Copyright © Educational Support & Management Association of Broward, Inc. · 440 West Tropical Way, Plantation, Florida 33317 · (954) 850-1321 · info@esmab.net