South Carolina State Employees Association
ON-LINE APPLICATION


STEP ONE                                 
CONTACT INFORMATION



NAME

                             FIRST                                            MI                                     LAST

STREET

CITY                                                                                          ZIP CODE


EMAIL                                                                                           PHONE



STATE AGENCY

SSN


 SALARY RANGE                                                                                                   PENSION      
 (Active Employee)                                                                                            (Retired Employee)

 Less than $35,000                                                                                            Less than $35,000

 More than $35,000                                                                                            More than $35,000



 Associate Member
 (Non-State Employee)