***Postponed: Blanket Exercise Course (Saskatoon)

The Blanket Exercise is a way of walking through the history of Indigenous People in Canada including the treaties, residential schools and the 60^’s scoop.

Deadline to Register: January 30^th
Please note that after the registration deadline, names will be placed on a waitlist for the course.

Name *

First

Last

How would you like to be identified (she/he/they)

PSAC ID

Component

Name of your workplace: Department or Name of the Employer *

What is the one thing you want to know about Unions or your Union, The Public Service Alliance of Canada? *

Home Email *

Home Phone *

Please include area code

Cell Phone

Please include area code

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Do you require a union leave letter? If yes, please indicate the date(s) and start/end times of your shift(s) in the next box below. *

• Yes
• No

Shift schedule: Please note, that no member should be at a loss of salary for any courses taken. PSAC will cover salary for courses taken during your regular scheduled work hours. Our Finance department will require a copy of you shift schedule and a pay stub.

For any questions, please contact Manorie Perera-Olver at pereram@psac-afpc.com for more information.

Do you require Family Care? *

• Yes
• No

For any questions, please contact Manorie Perera-Olver at pereram@psac-afpc.com for more information.

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 (i.e. airborne, nuts etc)

ACCESSIBILITY REQUIREMENTS FORM - ACCESSIBILITY REQUIREMENTS FORM - Do you have a disability relevant to the course we need to address? *

• Yes
• No

The PSAC is committed to accessibility and therefore we ask that you explain any accessibility requirements below if necessary so that the PSAC can better accommodate you. The information collected below will be held confidential and will not be disclosed except where necessary to respond to your request for accommodation. 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.

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