MTI Member Personal Info Update Survey

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)(Required.)

Recent Name Change?

Yes

No

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

NEW HOME ADDRESS:

Address:

City/Town:

State:

ZIP + 4:

Recent Home Address Change?

Yes

No

Primary Phone Number:

Primary Phone Textable Device?

Yes

No

Alternate Phone Number:

Alternate Phone Textable Device?

Yes

No

Non-MMSD E-Mail Address:

MMSD Employment # (B#):(Required.)

Primary Work Location:(Required.)

Current Job Title:

Recent Job Change?

Yes

No

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.

MTI Member Personal Info Update

Contact Information