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Personal Information

PSAC Membership #

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.

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 on the name of the observer to receive kit on the memo line.

list Email number

Checkboxes (copy)

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

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 are 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

Loss of salary and expenses

The following information is only applicable for Delegates attending the Convention. PSAC is not able to provide LWP 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.

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

I will need approximately $:

Classification/Step or Hourly Wage

Number of Hours Loss of Salary Required

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

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 email address

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

Alternate Email Address

(if different from above)

Component or Directly Chartered Local

Local number

Local name

Region

Texts

I authorize the 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.

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

The 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 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.

Hotel Accommodation

The PSAC has reserved a block of rooms. The hotel (s) is unionized and accessible. Please note that the hotel (s) 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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