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Personal Information

PSAC Membership #

Registration

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.

Climate change

I require a printed copy of the convention materials.

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.

Cheques are to be made payable to PSAC BC and can be sent via post to 302 – 5238 Joyce Street, Vancouver, BC V5R 6C9. On the cheque, please indicate the name of the observer to receive the kit on the memo line.

Checkboxes (copy)

I would like to request a hotel guest room within PSAC’s block of rooms. I understand that I am responsible for all costs associated with my hotel stay, payable upon checkout.

PSAC has reserved a block of rooms for delegates. There may be additional space within the block for registered observers, available on a first-come, first-served basis.

Checkboxes (copy)

I am aware of the $200 registration fee for each observer that must be submitted to the PSAC BC REVP Office no later than March 27, 2026.

Delegate Profile

Participant Options

Are you a first-time delegate to a regional convention.
Would you be interested in joining a Convention Committee?

Please select

Note: members of the nominations committee may not run for any elected positions or involved with any election campaigns during the PSAC BC Regional Convention.

What delegate seat do you hold?

Component and Local number

Name of the Area Council

e.g. Okanagan Area Council

Name of the Regional Committee

e.g. Northern Regional Women’s Committee

Component and Position Title

e.g. UNDE NVP

Position title

e.g. Women’s Coordinator

If you require Loss of Salary for Saturday or Sunday, please indicate below and send a copy of your work schedule to HarrinT@psac-afpc.com.

First name

Last name

What are your pronouns?

(eg: he/him, she/her, they/them)

Mailing address

City

Province

Postal Code

Work phone

Home phone

Mobile phone

Preferred personal email address

(provide the address you would like used for correspondence for this conference – cannot be an employer email)

Alternate Email Address

(if different from above)

Component or Directly Chartered Local

Local number

Local name

Region

Texts

I authorize PSAC to send me conference information via text (SMS) messages to my mobile phone for this event

Orientation session

I will be attending the Orientation Session on the Rules of Order.

Loss of salary and expenses

Actual loss of salary will be reimbursed for working hours lost during the Convention. There will be no compensation of salary for weekends except for delegates who are regularly scheduled to work on a Saturday or a Sunday upon receipt of official work or shift schedule. There will be no overtime compensation.

The following information is only applicable for delegates attending the Convention. PSAC is not able to provide leave with pay union authorization letters for observers.

Please identify if you will require loss of salary to be covered.

If you require loss of salary for Saturday or Sunday, please indicate below.

I will require an advance for expenses associated with this event.

I will need approximately $:

Will you be claiming loss of salary OR leave with pay as specified by your collective agreement?

Classification/Step or Hourly Wage

Number of Hours Loss of Salary Required

Which day(s) do you require loss of salary?

If you require loss of salary for Saturday or Sunday, please indicate below and send a copy of your work schedule to harrinT@psac-afpc.com

No scents please

Participant salary Registration

In 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 Group

PSAC 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 as an observer. 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 options

PSAC Equity Contact Lists

Equity contact list

Please add my name and contact information to one or more of our respective PSAC Equity and Young Workers 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.

Disability

I am a member with a disability and require accommodation.

What are the functional limitations arising from your disability?

(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).

Hotel Accommodation

The PSAC has reserved a block of rooms for delegates. All room reservations must be made through the PSAC. Registration must be completed prior to making any hotel and travel arrangements. There may be additional space within the block for registered observers, available on a first-come, first-served basis. The hotel is unionized and accessible. Please note that the hotel is a 100% smoke-free environment.

Hotel option

I require specific accommodation for my disability in my hotel room.

Please specify

Dietary Restrictions or Allergies

Diet option

I have dietary requirements or allergies.

Please specify

Family Care

The objective of the PSAC Family Care Policy is to remove one of the barriers which prevents delegates from participating fully in Union activities and which provides for the reimbursement of family care expenses. A copy of the policy is available on the PSAC website at http://psacunion.ca/family-care-policy.

Childcare option

I require on-site childcare.

Number of children

Ages of children

We will follow-up for additional information and to confirm service.

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