Manitoba Local Executive WFA Training

December 10, 2025

9:00 am - 4:30 pm

PSAC Winnipeg Regional Office - 175 Hargrave Street, Suite 460

Name *

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Preferred Pronoun (She/He/They/Other) - Optional

PSAC ID

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Address *

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Do you require Loss of Salary? *

If yes, please indicate the date(s) and start/end times of your shift(s) in the next box below.

Do you require Family Care? *

Family Care will be in accordance with the PSAC Family Care Policy (https://prairies.psac.com/family-care/). For any questions, please contact winnipeg-registration@psac-afpc.com

Do you require travel and/or accommodation? *

Travel arrangements will be in accordance with the PSAC Travel Policy (https://psacunion.ca/travel-policy). Approved participants will be contacted individually regarding travel arrangements. For any questions, please contact winnipeg-registration@psac-afpc.com

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

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

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

Emergency Contact Information (The information you provide here is confidential and will only be used in the case of an emergency situation) *

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Emergency Contact's relationship to member *

Emergency Contact's phone number *