Vancouver Local
Spring2017EducationSeminars
April2017
RegistrationDeadline:February22,2017,at12:00p.m.(Noon) Courses Offered: Basic shop Steward (April 6 to 9)
Grievance handling (April 6 to 9)
Social Stewards (April 6 to 9)
Letter Carrier route Measurement for Observers (April 6 to 10)
please complete the following: (one form per participant)
Name of Local: Name: ☐Brother ☐Aboriginal ☐Worker of Colour ☐Sister ☐LGBTQ ☐Differently Abled Address: City: Phone #: Postal Code: Email: Work Schedule: (i.e. start and finish time and days off) ☐Urban ☐RSMC ☐Full‐time ☐Part‐time ☐Temp Course applying for: st
1
☐PSBU 2nd Choice: Choice: Emergency contact name:
Phone # Accommodation and Transportation
Are you willing to share a room to reduce costs? ☐No ☐Yes with:_____________________________________ All accommodations are guaranteed. It is the responsibility of the participant to notify the Regional Office of any cancellation by April 3, 2017. Failure to inform the Regional Office will result in a “no show” room charge which will be submitted to the participant/Local for payment. The Harrison Hot Springs Resort & Spa is a non‐smoking facility. I will be travelling by: ☐Bus ☐*Personal Vehicle ☐Air (special request): ___________________________________ Important: Please print name as appears on ID for airline ticket purposes: __________________________________________________________ *Bus transportation for participants from Lower Mainland & participants arriving by air is supplied, those choosing to take their personal vehicles will not be compensated for mileage or parking* All flight cancellation costs will be billed to the participant/Local. As meals will be provided, please list your food allergies/dietary preference; environmental, mobility, medical, hearing, vision or any other special needs that we should be aware of: All applications must be approved by your Local Executive and the registration form must be signed by the Local President or designate. __________________________________________ Signature of Local President __________________________________________ Signature of Applicant ck/CUPE-3338