National Officers Training

PSAC Prairies is hosting National Officer Training on Friday, Jan. 13 and Saturday, Jan. 14, 2023 at the Hilton Garden Inn in Calgary, AB.

National Officers who are directly responsible for locals in the Prairie Region will be funded for hotel, meals and incidentals and parking.  Travel to Calgary will not be covered.

National Officers who hold positions that are not directly responsible for locals (Executive VP’s, portfolios such as HR or H&S, etc.) may attend but are responsible for all costs associated (travel to Calgary, hotel, parking, meals, incidentals, ground transportation, etc.).

Name *

First

Last

Component *

Position *

PSAC Membership ID *

Preferred Email *

Home Phone

Cell Phone *

Are you directly responsible for locals in the Prairie Region? *

• Yes
• No

ACCOMMODATION FOR DISABILITIES

• I am a member with a disability and require accommodation.

The PSAC Accommodation Policy for delegates at PSAC Conferences strives to ensure that conferences are barrier-free for delegates with disabilities. Once selected, members may be required to further specify their accommodation needs in order to facilitate their participation at these conferences. A separate form will be sent to selected delegates who have identified as members with disabilities requiring accommodation.

What are the functional limitations arising from your disability? (You are not obliged to disclose your diagnosis, only your functional limitations.)

Accessibility Requirements

• I require that the PSAC arrange a personal care attendant to assist me in order for me to fully participate at the conference.
• I require documentation in alternative media.
• I require sound amplification.
• I require a sign language interpreter.
• I require an oral interpreter.
• I require that the PSAC arrange for a Reader to assist me in order for me to fully participate at the Conference.
• I will be using animal assistance (i.e. guide dog) at the Conference.

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.

SPECIAL DIETARY REQUIREMENTS OR ALLERGIES

• I have dietary requirements or allergies that the PSAC should be aware of.

Please specify:

Hotel Accommodation: Do you require a hotel room?

• Yes
• No

PSAC Prairies will cover hotel for Thursday, Jan. 12th, Friday, Jan. 13th and Saturday, Jan. 14th if travel home that day if not possible.

If you require a hotel, please identify for what dates.

For those not funded by PSAC Prairies, please advise where the invoice for the hotel should be sent for payment:

Do you require a union leave letter?

• Yes
• No

If yes, please indicate dates and times. (Shiftworkers or those on compressed work weeks are required to provide a shift schedule.)

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

• Indigenous Person
• Racially Visible Person
• LGBTQ2+
• Woman
• Person with a Disability
• Young Worker (35 & under)

• I agree that PSAC Prairies may use the information provided in the Self-ID section for administrative purposes.

This could include seeking your participation in equity/diversity committees, conferences, and conventions and sending you information about PSAC Prairies equity/diversity initiatives.

Submit