Introducing PSAC Prairie Regional Committees (Pan Prairie Virtual)

Deadline to register: Thursday, November 2nd, 2023

Wondering what PSAC regional committees do and what they can achieve? Join this workshop to learn about Human Rights Committees, Women’s Committees, Area Councils and Young Workers Committees. Each committee engages in social justice and political action. These committees are the connection of union and social justice values.  The variety of committees across the Prairies will be introducing their events and activities and welcoming questions. Celebrate accomplishments and look forward to new connections.

Name *

First

Last

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

PSAC ID

Component

Who do you work for? *

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

__________________________________________________________________________________________________________________________________________________________________

1) Which committee are you most interested in learning about? *

2) What is one activity that would bring you out to join one of the committees? *

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. *

• Yes
• No

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 Carla Blois at bloisc@psac-afpc.com for more information.

Do you require Family Care? *

• Yes
• No

For any questions, please contact Carla Blois at bloisc@psac-afpc.com for more information.

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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