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Education Program
Registration for New Local Officers' Conference (BILINGUAL - ORO)

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Registration for New Local Officers' Conference (BILINGUAL - ORO)

Registration for New Local Officers' Conference - June 13 to June 16, 2018

Deadline to apply is May 30, 2018.

Language Preference

Please select your language of preference.

Language Preference *

English

Français

Contact information

PSAC ID

Last Name *

First Name *

Street Address *

City *

Province *

Postal Code *

Home Telephone *

Work Telephone *

Personal Email Address *

Due to workplace firewalls, personal emails are required

Component or Directly Chartered Local *

Local *

Employer *

Employer Other...

Work Location

Street address required

Classification and Level

Questionnaire

Your Union Education and Experience

Are you a union officer? *

Yes

No

What date where you elected? *

What position do you hold? *

Did you take a local executive course? *

Yes

No

What course did you take as a local officer?

How do you plan to make use of this training in your union activities? *

Agreement/Signature

APPLICANT: With this application, I agree to attend and participate in all sessions and to complete all assignments. I have read the PSAC policy on harassment and understand my responsibilities in accordance with this policy. (The date of your application is auto-populated by the submission of this form)

Agreement *

Yes

No

Accommodation of a Disability

If you are a member with a disability and require accommodation in order to participate in this course, kindly complete the following. The PSAC strives to ensure that PSAC events are barrier-free for members with disabilities.

Are you a member with a disability and requiring accommodation?

Yes

No

What are the functional limitations arising from your disability? (You are not obliged to disclose your diagnosis; only your functional limitations):

Please specify the accommodation measures you require:

Optional Self-Identification

The PSAC is committed to ensuring that our Education Program is accessible to all members. The information requested in this section will help us select participants for this course. ALL INFORMATION WILL BE KEPT CONFIDENTIAL and only used to support our Education Program.

Check all that apply

Racialized

Aboriginal

Woman

Gay, Lesbian, Bisexual or Transgendered

Person with a Disability

Youth (Under 35)

Materials

Course materials requested

Paper copy only

Electronic copy only (you must bring your own laptop to the course)

Both

Please tell us if your plans change and you are no longer able to attend this course. Members who are on standby will be given an opportunity to take your seat.

Leave this field blank

Our Organization:

Education Program

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Public Service Alliance of Canada - NCR.

Ottawa Regional Office:
233 Gilmour Street, Suite 603, Ottawa, ON K2P 0P1 Tel: 613-560-2560 Fax: 613-234-6209
Gatineau Regional Office:
200 Prom. du Portage, 2nd floor, Suite 310, Gatineau QC J8X 4B7 Tel: 819-777-4647 Fax: 819-777-9407

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