Weekend course application form at Public Service Alliance of Canada BC

Union School Application

November 5th - 7th, 2010

“Building a People’s Economy - Creating Alternatives for Economic and Environmental Change!”

Deadline for receipt of application: October 4 2010

If you do not know your PSAC ID#, call the Vancouver RO @ 604 430-5631 or 1 800 663-1655 and we will look it up for you.

Contact information

Name *

PSAC ID# *

Address *

City *

Postal Code *

Province *

Work Phone * don't forget an extension #, if applicable

Home Phone *

Fax Phone

Email Address *

Component and Local *

Work Location

Union Activities

How long have you been a PSAC member? *

Describe your union activities

How did you hear about the Union School?

Have You taken the Talking Union Basics course? * YesNo

Please list all other PSAC courses previously taken

Course Selection

Please make a 1st choice and a 2nd choice course.

You will be placed in one course that will run throughout the entirety of the union school.

In order for your application to be processed you MUST indicate a different course for your 1st and 2nd choices. (we will attempt to place participants in their 1st choice course selections but depending on course demand, this may not always be possible).

Here are the course descriptions.

First Choice * The New Steward! A Young Worker FocusHealth and Safety Level I If People Counted! Economics Through a Union LensCreating Workplace Change Through Employment Equity

Second Choice * The New Steward! A Young Worker FocusHealth and Safety Level I If People Counted! Economics Through a Union LensCreating Workplace Change Through Employment Equity

Access

It is important that this section be completed in order that we may accommodate your special needs.

Do you have any special requirements? * YesNo eg: special diet, wheelchair access, sign language, documents in alternate formats, etc.

Please specify

Accommodation

This applies for members eligible to stay in residence at the hotel.

I require a: Smoking roomNon-smoking room

Acknowledgement

With this application I agree that, if selected, I will attend and participate in all sessions of the Union School including the school closing.

If you have any questions about the Union School, please call the PSAC Vancouver Regional Office 604-430-5631 or 1-800-663-1655.

We are particularly interested in hearing from members who are not applying because of barriers to attendance (e.g., scheduling conflict; cannot obtain leave from employer; school topics not relevant to learning needs; etc.).

Please advise us of any such barriers so that we can address these concerns when planning future Union Schools.

Anything else?

Is there anything else you would like to add to your application?

Sign me up for the PSAC BC monthly email newsletter Yes!