UDP application form at Public Service Alliance of Canada BC

Please note: With the exception of the self-id form which is optional, all parts of the application form must be completed to be considered for selection.

COMPLETED APPLICATION FORMS – INCLUDING THE 500 WORD ESSAY –AND EMAIL RECOMMENDATIONS MUST BE RECEIVED NO LATER THEN SEPTEMBER 25TH, 2009.

Personal Info

Name *

Home address and postal code *

Home phone number *

Work phone number *

Email address *

Component or DCL and local number *

PSAC ID number *

Collective Agreement you fall under *

Employer *

Position *

Location *

Union And Community Activities

How long have you been a PSAC member? *

Please outline why you think it is important for you to take the UDP at this time. *

Please outline, in detail, your experience as a union/social justice activist. *

List actions/events you have participated in organizing. *

Please identify your long-range plans as a union/social justice activist. *

What actions do you hope will flow from taking the UDP? *

How will you share your learning with other union members? *

PSAC Education

Course name, date, and location.
click to add more courses

Other Union or Community/Social Justice Education

Please describe, if applicable

Essay Question

Please note: Essays will be used to screen potential candidates for the UDP. Applications submitted without this written exercise will be deemed incomplete and will not be considered. If you require assistance completing the essay question or attaching your essay document to this application, please contact the PSAC Vancouver Regional Office.

PLEASE DRAFT A 500 WORD RESPONSE TO THE FOLLOWING:

Outline your thoughts on union leadership, within the context of union and social justice activism. Comment on what you think leadership is, how it should be exercised, and by whom.

Please add your essay here in whatever electronic format is convenient. It will be uploaded when the form is submitted. *

Guest Room Needs

Smoking? * Smoking roomNon-smoking room

Special Needs: Access and Diet Requirements

The PSAC is committed to ensuring that the accessibility and dietary requirements of our members are respected. Please indicate your needs below and provide any necessary explanation that will assist us in meeting them. i.e. special diet (please specify); use of a wheelchair; use crutches or a walker; blind or visually impaired; deaf or hearing impaired; need assistance leaving room in an emergency; allergies.

Please specify

Learning Environment

SMOKE-FREE: All PSAC courses are smoke-free events. In compliance with PSAC policy there will be no smoking in any classrooms or common rooms used by course participants.

SCENT-FREE: To assist members with environmental sensitivities, all PSAC courses are scent-free events. A copy of the scent-free policy will be included in the information sent to participants in the Union Development Program.

HARASSMENT-FREE: To ensure a supportive and effective learning environment, the PSAC’s Anti-Harassment Policy 23B will be in effect for the duration of the UDP. Copies of the policy will be provided to UDP participants on the first day of the course. Copies of PSAC Policy 23B are also available from the PSAC Vancouver Regional Office.

Expenses

The union covers family care expenses for PSAC courses, union schools and other education events. For more information, please visit our website

Recommendations and Acknowledgements

With this application I agree that, if selected, I will attend and participate in all sessions of the course.

I have read the PSAC policy document on harassment and the PSAC scent-free policy and understand my responsibilities in accordance with them.

Recommendations

In order to process your application, a recommendation is required for this course from your Local President, Chair of the Regional Women’s Committee, Regional Human Rights Committee, the President of the Area Council, or the respective designate of one of the above.

Please ask the respective individual to send an email to the regional office by the application deadline of September 25th. Emails should be sent to AlcuitH@psac-afpc.com and should include the person’s name, union position and a clear indication that they are recommending you for the Union Development Program.

Optional Self Identification

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.

All information will be kept confidential.

Preferred language EnglishFrench

I am an Aboriginal Person (Metis/First Nations/Inuit) Yes

Specify

I am a racialized person: Are you, by virtue of your race or colour, in a racially visible minority in Canada? Yes

If yes, and you wish to identify with a specific racially visible group, please indicate

I am a person with a disability: Do you have any persistent or permanent physical, mental, psychiatric, learning or sensory impairments, as recognized under the Canadian Human Rights Act? Yes

I am a gay/lesbian/bisexual/trans person Yes

I am a woman Yes

I am a youth. Are you under the age of 30? Yes

If yes, what is your date of birth?

Anything Else?

Is there anything you wish to add to your application?