Follow the steps to fill out the application efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by providing your nickname, first name, middle initial, and last name in the designated fields. Ensure you print these details clearly.
3. Enter your mailing street address on Line 1, followed by your social security number in the given field. Provide your employer's name in the next section.
4. Fill in your work address, which includes the street address Line 1, Line 2, city, state, and zip code.
5. Complete your personal contact information by providing your home phone number, work phone number, and cell phone number in the respective fields.
6. Indicate your annual salary, job title, and date of birth (in mm/dd/yyyy format). Also, check the box if you are a veteran.
7. Finally, sign the application and date it to authorize CSEA to represent you and deduct dues from your salary.
8. After ensuring all information is correct, you can save changes, download the final document, and choose to print or share the form as needed.

Take the first step towards your CSEA membership by completing the application online today.