2025 Separate Employer and Directly Charted Local Conference

The PSAC Prairie Region is pleased to announce a conference specifically designed for representatives of Separate Employer and Directly Chartered Locals. The conference will take place at the Double Tree Regina Downtown – located at 1975 Broad Street, Regina, SK. The conference will run from 3:00 p.m. on Friday November 7, 2025 through to close of conference at 12:30 p.m. on Sunday November 9, 2025.

Overview:

Conference participants will have the opportunity to learn from each other, build relationships, and plan for the future. We will explore strategies for common issues, learn more about PSAC campaigns and opportunities, and develop networks to face the challenges ahead.

Participants will also have the opportunity to meet and chat with Marianne Hladun (Prairies Regional Executive Vice-President), Michelle Lang (Prairie Region Council representative for Directly Chartered Locals) Amanda Wakeford (Prairie Region Council representative for Separate Employers).

Name *

First

Last

Chosen Name (if different from Employer record)

PSAC ID

Separate Employer or Directly Chartered Local *

Are you registering as a Delegate, Observer or National Officer?

• Delegate
• Observer
• National Officer

Local Number (if known)

Home email *

Home phone *

Cell phone *

Street address

City

Postal Code

LOSS OF SALARY: Please identify if you will require loss of salary for travel on Friday, November 7, 2025. In most cases a half day will be needed for travel. If you require Loss of Salary for Friday, Saturday, Sunday and/or Monday please indicate below, (for budget tracking purposes). Please include the following in your response: Number of Hours Loss of Salary Required and Which days(s) do you require loss of salary

Please note: a copy of your work schedule for that pay period and a copy of your pay stub will also be required.

Do you wish to self-identify? Choose as many as applicable

• Indigenous Person
• Racially Visible Person
• LGBTQ2+
• Person with a Disability
• Young Worker (35 and under)

Tell us what makes your Separate Employer/DCL Local unique and distinct from other locals in the challenges that you face as a union? *

SPECIAL DIETARY REQUIREMENTS AND/OR ALLERGIES Do you have any dietary requirements or any allergies that we should be aware of ? *

• Yes
• No

The PSAC is committed to ensuring that the accessibility and dietary requirements of our members are respected. Please indicate your needs in the box below and provide any necessary explanation that will assist us in meeting them. PSAC will take the necessary action to ensure the availability of transportation, equipment and/or people required to enable all members to attend and fully participate in this Conference.

If yes to special dietary requirements/allergies please specify

ACCESSIBILITY REQUIREMENTS FORM - Do you have a disability or disabilities? *

• Yes
• No

The PSAC is committed to accessibility and therefore we ask that you complete this form if necessary so that the PSAC can ensure your full participation at the conference. The form is confidential and the information provided will not be disclosed except where necessary to respond to your request for accommodation.

If yes to the above question, what are the functional limitations and restrictions arising from your disability or disabilities? (you do not need to disclose your diagnosis)

Please list options for accommodating your functional limitations and restrictions in order to allow you to fully participate in the event.

Other comments: You may be required to provide relevant medical documentation that will assist us to respond to your request.

Emergency Contact Person

Emergency contact person phone number

Submit