NIH Membership Form

NIH Membership Form
Join your union! Your membership makes our union stronger, which is the key to winning improvements at NIH and beyond.

Membership means the right to participate in the union. Membership builds our collective power to win more pay, rights, and benefits at NIH. Learn more about membership here.
First Name*
Last Name*
NIH Email*
example@nih.gov
Job Title*

Postbaccalaureate FellowPredoctoral FellowPostdoctoral FellowVisiting FellowResearch FellowClinical FellowOther
Job Title

Postbaccalaureate FellowPredoctoral FellowPostdoctoral FellowVisiting FellowResearch FellowClinical FellowOther
FTE Fellows are required by law to fill out the following additional form to authorize dues deduction.

The NIH uses Badge Number as Employee Identification numbers. Please do not put your Social Security number anywhere on form 1187.
Non-FTE Fellows are required by law to fill out the following additional form to authorize dues deduction.
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Location - Building
Work Location - Room
Cell Phone
Please enter a valid phone number.
Institute or Center
Supervisor
I accept membership in the UAW and its designated Local that represents me with respect to my working conditions at NIH. I agree to pay monthly dues, currently 1.1% of my gross pay. I authorize NIH to deduct the monthly membership dues from my pay and remit them to the Union. Unless revoked, this authorization is to remain in effect for all periods of time in which I am a UAW member and receiving a paycheck for work performed in a UAW-represented unit.
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Date*

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NIH Membership Form

FTE Fellows are required by law to fill out the following additional form to authorize dues deduction.

Non-FTE Fellows are required by law to fill out the following additional form to authorize dues deduction.