TB Mobilization Summit Part II Saskatoon RO – “Continuing the Conversation” – IN PERSON

PSAC Prairie Region is pleased to invite local executive members to join us in an engaging opportunity to continue the conversation with other PSAC members – Part II.

The goals of the summit will be to discuss:

• Current state of bargaining.
• Membership readiness
• How affective were your mobilization activities since we last met
• How we can increase membership turn out in getting members out to vote
• Updating your mobilization plan

Deadlint to Register: August 26th, 2026

Name *

First

Last

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

PSAC ID

Local number

Component or DCL

Home Email *

Cell Phone *

Please include area code

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

______________________________________________________________________________________________________________________________________________________________________

Bargaining group *

• PA
• SV
• TC
• EB

Do you require Loss of Salary? *

• Yes
• No

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

Shift Schedule (for eg. Friday, yy/mm/dd from 8 am to 4 pm, 9 am to 5 pm, etc) *

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.

Do you need accommodation? What is the distance in Kilometers from your office to the PSAC Saskatoon Regional Office? *

• Under 60 Kms
• Between 60 - 100 Kms
• Between 101 - 250 Kms

Travel arrangements will be in accordance with the PSAC Travel Policy (https://prairies.psac.com/salary-expenses/). Approved participants will be contacted individually regarding travel arrangements. For any questions, please contact chiehhj@psac-afpc.com

Do you require Family Care? *

• Yes
• No

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

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 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 - 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.

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

First

Last

Emergency Contact's relationship to member *

Emergency Contact's phone number *

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