Chosen Name (IF different from above) PSAC ID Number. If unknown, enter 123456 * Component / Local / DCL * Emergency Contact Phone * CONFIDENTIAL SELF-IDENTIFICATION (Optional)
The PSAC is committed to ensuring that PSAC Education Programs are accessible to ALL members. The information requested in this section will help us assess our success in reaching members who belong to groups identified in the PSAC Human Rights Policy.
Please check all that apply ACCESS INFORMATION
The PSAC Accommodation Policy strives to ensure that union activities are barrier-free for participants with different abilities. Upon acceptance to the School, registrants may be required to further specify their accommodation requests to facilitate their participation in the School.
Please be as specific as possible to assist the organizers and the facility in meeting your needs.
I will be accompanied by a personal care attendant to assist me at the School. I require sound amplification. I require an oral interpreter. I require that the PSAC arrange for a Reader (for a person with visually related-disability) to assist me in fully participating at the School. I will be using animal assistance (i.e.: guide dog) at the School. I will require other accommodation: TRAVEL ARRANGEMENTS - Prior Approval Required
Please indicate your mode of travel.
Participants are expected to travel by the most direct, economical means.
Travel Policy: https://psacunion.ca/travel-policy
The PSAC Family Care Policy will be in effect for the School. Please note that on-site childcare will not be available. For additional details, please see the PSAC Family Care Policy.
If you require family care and have any questions, please contact the PSAC Thunder Bay Regional Office by phone: 807-345-8442, 1-800-355-0794 or by email: email@example.com
National Family Care Policy: http://psacunion.ca/family-care-policy
SMOKE FREE: All PSAC events, including this event, are smoke free. All meeting rooms and guest rooms are non-smoking. There are designated smoking areas outside the facility
SCENT FREE: To assist members with environmental sensitivities, all PSAC events are scent-free events.
SPECIAL NEEDS – ACCESS AND DIETARY REQUIREMENTS: The PSAC is committed to ensuring that the accessibility and dietary requirements of its members are respected. Please indicate any special needs; and provide any necessary explanation that will assist us in meeting those needs. The PSAC will take the necessary action to ensure the availability of transportation, equipment and/or people required to enable all members to attend and fully participant at this event.
PSAC STATEMENT OF HARASSMENT
All PSAC events are harassment free. We can neither condone nor tolerate behavior which undermines the full and equal participation of all participants in all union activities. Harassment Free Policy https://psacunion.ca/PSAC%20Statement%20on%20Harassment
Please Submit your completed application to the PSAC Thunder Bay Regional Office by: Monday, September 19, 2022
PSAC Thunder Bay Regional Office
Attention : firstname.lastname@example.org
T: 807-345-8442, 1-800-355-0794
F: (807) 344-0704
Date / Time *
Applicant: With this registration, I agree to attend and participate in all course sessions. I have read the PSAC policy documents on human rights and harassment, and I understand my responsibilities in accordance with them.
By submitting the registration form, you are indicating your agreement.