Local Officer's Conference Application

Please use this form to apply for the Local Officer's Conference, September 14-16 2007. Fields marked * are required.

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 *
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don't forget an extension #, if applicable
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Union Activities *
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Workshop Selection
All selected applicants will attend a series of general workshops and plenaries throughout the conference. In addition, applicants will have a choice of attending a workshop on a variety of topics. We will only be offering workshops on 3 of the topics below. To assist us in determining which workshop topics are the most relevant for applicants, please rate them from 1 - 4 with 1 being your first choice and 4 being your last choice.
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Access / Wages / Accommodation
It is important that this section be completed in order that we may accommodate your special needs.
eg: special diet, wheelchair access, sign language, documents in alternate formats, etc.
Do you have any special requirements?*

We encourage members to apply for leave with pay from the employer - if your leave is denied please apply for leave without pay for union business and we will cover your lost wages.
I will be applying for leave with pay
Should hotel accommodation be necessary, do you require ...*
Self Identification

This entire portion is optional.

The Alliance is committed to ensure that PSAC education programs are accessible to all members. The information requested in this section will help us assess our success in reaching members who belong to groups identified in the PSAC Human Rights Policy.

Are you a First Nations, Metis, or Inuit Person?
Are you, by virtue of your race or colour, in a racially visible minority in Canada?
Do you have any persistent or permanent physical, mental, psychiatric, learning or sensory impairments, as recognized under the Canadian Human Rights Act?
Are you gay, lesbian, bisexual or transgendered?
Are you under the age of 30?

Gender
I agree that the PSAC may use the information provided in the Self-ID section for administrative purposes. This could include seeking your participation on advisory committees and your input on specific employment equity/diversity issues and participation in equity/diversity committees, conferences, and conventions
Acknowledgement
With this application I agree that, if selected, I will attend and participate in all sessions of the Local Officers Conference. I have read the PSAC policy documents on Human Rights and Harassment provided by my Local, and understand my responsibilities in accordance with them.
Anything else?
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