Prairie Women in Action

Join a one-day event uniting Prairie Women. Together, we have championed care, equity, and community, creating a solid foundation for meaningful change. Now, it’s time to take our collective vision even further.

Join for lively discussions, inspiring workshops, and opportunities to connect and network with others in your area who share your commitment to making a difference. Whether you’re a seasoned activist or just beginning your journey, your perspective and energy are vital to our shared success.

Ready to keep the momentum going?

Registration Deadline: February 16th, 2026

Name *

First

Last

Chosen Name (if different from Employer record) - Optional

PSAC ID

Component or DCL

Local number (if known)

Home Email *

Cell Phone *

Please include area code

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

______________________________________________________________________________________________________________________________________________________________________

Please indicate which Regional Women’s Committee you would be affiliated with: *--- Select Choice ---CalgaryLethbridgeEdmontonSaskatoonReginaWinnipegWestman

What is your priority for women in our union? To best understand the focus of your community’s issues/needs; please let us know if you are involved with a community organization. Ex: Heart and Stroke Foundation of Canada: Health/Heart *

What is your priority for women in your region? (Select up to 3) *

• Womens Healthcare
• Reproductive Rights
• Child care
• Violence against women and girls
• Pay equity
• Unequal political representation of women
• Economic equality
• Unpaid care work
• Period poverty
• Access to Education
• Mental health supports
• Other: (please specify) _________

Other: please specify below

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

• Indigenous Person
• Racialized Person
• 2SLGBTQIA+
• Person with a Disability
• Young Worker (35 and under)

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 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 your regional office.

Do you require travel and/or accommodation? *

• Yes
• No

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 your reginal office.

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 *

Submit