Personal information PSAC ID number * Component / DCL * Local number * Work phone * Workplace information Worksite address *
if you're working remotely due to Covid, enter your usual or pre-pandemic workplace
What bargaining unit do you belong to? * Airports BWXT Isotope Technologies Canada Post CBSA (FB) Canada Revenue Agency Canadian Food Inspection Agency Commissionaires First Nations Health Authority Granville Island IMP Comox Nav Canada Parks Purolator RCMP Civilian Members Rising Sun Treasury Board (PA, SV, TC, EB) Statistical Survey Operations Other/Unknown Loss of salary and materials Will you be claiming loss of salary OR leave with pay as specified by the Treasury Board, Parks and CFIA collective agreements? If yes, please specify the date(s) and times(s) Do you have any special requirements? If yes, please specify Please confirm that you will receive handouts and relevant readings electronically for the course by checking this box * PSAC Education is committed to greening our events and would like to reduce the amount of paper waste produced at our education events. 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. If you require printed materials, as a part of an accommodation, please check this box Emergency Contact Name Emergency contact phone number Optional Equity Self-ID
PSAC members who belong to the following groups are invited to self-identify. This information is voluntary and kept confidential and will be used for the purposes of supporting our equity initiatives and programs. Please check all that apply.
I am 35 years of age and under If yes, what is your date of birth? I am a member of the 2SLGBTQIA+ community I am racially visible
A racially visible person in Canada is non-white in colour or race, regardless of place of birth.
I am a person with a disability
For equity purposes, “person with disabilities” means persons who experience barriers arising from impairments of a physical, mental, sensory, psychiatric or learning nature.
I self-identify as a woman I am an Indigenous person Last Section Is there anything else you would like to add to your application?