MTI Member Personal Info Update

Contact Information

Please update your personal information below. MTI will update our records as soon as possible.

Please note that your full name, MMSD EE#, Bargaining unit and work location are required for us to verify a match in record updates. Thank you.

YOUR FULL NAME (First, Middle, Last):
(as it appears on your MMSD paychecks)

YOUR FULL NAME (First, Middle, Last): (as it appears on your MMSD paychecks)

Recent Name Change?

Recent Name Change? Yes

If Yes, please list previous name here (first, middle, last)

NEW HOME ADDRESS:

NEW HOME ADDRESS: Address:
City/Town:
State:
ZIP + 4:

Recent Home Address Change?

Recent Home Address Change? Yes

Primary Phone Number:

Primary Phone Textable Device?

Primary Phone Textable Device? Yes

Alternate Phone Number:

Alternate Phone Textable Device?

Alternate Phone Textable Device? Yes

Non-MMSD E-Mail Address:

MMSD Employment # (B#):

MTI Bargaining Unit:

MTI Bargaining Unit: MTI

EA-MTI

SEE-MTI

SSA-MTI

USO-MTI

Unsure

Primary Work Location:

Current Job Title:

Recent Job Change?

Recent Job Change? Yes

If yes, please enter previous job title & work location (% or hours/wk);

Membership Questions?

QUESTIONS ON YOUR MEMBERSHIP?

Anyone with questions regarding Union status should contact Robin Kantzler, MTI Membership, at kantzlerr@madisonteachers.org or at (608) 257-0491. An MTI membership enrollment form can be sent to you via e-mail and is also on our website at http://www.madisonteachers.org.

form {display:none;} #jserror {text-align:center;margin-top:50px;}Javascript is required for this site to function, please enable.