Life member nomination form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.NomineeNameNominee email *AddressAddress 2CityProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonPostal CodeComponentDirect Charter LocalAgriculture UnionCanada Employment and Immigration UnionCustoms Immigration UnionUnion of Environment WorkersGovernment Services UnionUnion of National EmployeesNational Health UnionUnion of Canadian Transportation EmployeesNatural Resources UnionNunavut Employees UnionUnion of National Defence EmployeesUnion of Northern WorkersUnion of Postal Communications EmployeesUnion of Safety and Justice EmployeesUnion of Taxation EmployeesUnion of Veterans Affairs EmployeesYukon Employees UnionLocalEmployment statusEmployed in the Public Serviceon leave without payon lay-offWork historyUnion activities Use the comment column to say which contributions the welfare of PSAC members you consider outstanding. Please say when each outstanding contribution was made.Union activities(Office or activity, start date, end date, elected or appointed, comments)Upload CSV Click or drag a file to this area to upload. You can chose to upload a csv file with their union activities instead of using the textbox provided.SponsorSponsoring bodyResolution textPaste the text of the resolution or motion passed by the component governing body or by the PSAC National Board of DirectorsSponsor nameSponsor email *Sponsor addressSponsor address 2Sponsor citySponsor provinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonSponsor postal codeSubmit
