Solidarity in Action – Convention Observer Registration Please enable JavaScript in your browser to complete this form.Personal InformationPSAC ID *Registration *I would like to register as an observer Climate change, global warming, and the protection of our environment are union issues. Conventions, conferences, and meetings all have an impact on our environment. We can help reduce this impact by adopting environmentally friendly practices. PSAC has worked to create a more sustainable Convention to reduce our carbon footprint. Our actions have included reducing the amount of paper and materials distributed, and recycling and reusing Convention materials. Of note - printed copies of convention materials will only be provided to attendees who request them at the time of registration. Checkboxes *I am aware that observers are responsible for all costs associated with their participation, including registration fee ($200), travel costs including ground transportation, hotel accommodation and incidental costs, loss of salary, meal, and family care requirements.On the cheque, payable to the Public Service Alliance of Canada, please indicate the name of the observer to receive the kit on the memo line.Checkboxes (copy)I would like to be sent the hotel reservation link to book accommodations within PSAC’s room block. I understand that I am responsible for all costs associated with my hotel stay, payable to the hotel.Checkboxes (copy) *I am aware of the $200 registration fee for each observer that must be submitted to the PSAC Atlantic REVP Office.First name *Last name * the contact (copy) Preferred nameWhat are your pronouns?(eg: he/him, she/her, they/them)Preferred language of communication *SelectEnglishFrenchMailing address *City *Province *SelectABBCMBNBNLNSNTNUONPEQCSKYTPostal Code *Work phoneHome phoneMobile phonePreferred personal email address *(provide the address you would like used for correspondence for this convention – cannot be an employer email) Component or Directly Chartered Local *SelectDirectly Chartered LocalAgriculture UnionCanada Employment and Immigration UnionCustoms and Immigration UnionGovernment Services UnionNunavut Employees UnionUnion of Canadian Transportation EmployeesUnion of Health and Environment WorkersUnion of National Defence EmployeesUnion of National EmployeesUnion of Northern WorkersUnion of Postal Communications EmployeesUnion of Safety and Justice EmployeesUnion of Taxation EmployeesUnion of Veterans' Affairs EmployeesYukon Employees UnionLocal numberLocal nameRegionSelectAtlanticBCNational Capital RegionNorthOntarioPrairiesQuébecTextsI authorize PSAC to send me conference information via text (SMS) messages to my mobile phone for this eventOrientation sessionI will be attending the Orientation Session on the Rules of Order.No scents pleaseIn consideration for the health of our members who may suffer from environmental disabilities, and with the goal of eliminating a contaminant from the air, the PSAC requests that all participants attending the convention refrain from using scented products. These include scented perfumes, colognes, lotions, hairsprays, deodorants and other products promoted by the fragrance industry. Emergency Contact Name *Relationship to the Participant *e.g. spouse, parent, friend, etc.Phone *Equity Declaration FormPSAC members who belong to the following groups are invited to self-identify. This information is required should you wish to participate in caucuses and elections. This information is kept confidential and will be used for the purposes of supporting our equity initiatives and programs. Please check all that apply.Self ID optionsWomanAccess (Worker with a Disability)Indigenous WorkerRacilialized Worker2SLGBTQIA+ WorkerYoung Worker (35 years old or under)FrancophonePSAC Equity Contact ListsEquity contact listPlease add my name and contact information to one or more of our respective PSAC Equity, Young Workers, and Francophone contact lists.(This information is kept confidential.) Please note that this information may be shared with different structures of the union in support of our human rights work only.Accommodation of a Disability PSAC strives to ensure that PSAC events are barrier-free for delegates with disabilities. Once selected, delegates may be required to further specify their accommodation needs in order to facilitate their participation at the Convention.DisabilityI am a member with a disability and require accommodation.What are the functional limitations arising from your disability? Visual Code (You are not obliged to disclose your diagnosis, only your functional limitations.) Disability Options I require that the PSAC arrange a personal care attendant to assist me in order for me to fully participate at Convention.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 Convention.I will be using animal assistance (i.e. guide dog).Dietary Restrictions or Allergies Diet optionI have dietary requirements or allergies.Please specify Visual Code Thanks for registering and we will be in touch.Submit
