APPLICATION FOR REGIONAL EDUCATIONAL
NAME: _________________________________________________ OPSEU LOCAL NO:
___________
1.Office presently held in your Local?
_________________________________________________
2.Offices previously held in your Local?
_______________________________________________
3. Union activities
to date: campaigns, committees,
handling grievances, health and safety, union office or relevant activity.
4.Other OPSEU Local/Regional Educationals attended?
_______________________________________________________________________________
5.What do you plan to do with the skills you acquire
in this course?
OPSEU is committed to achieving equitable participation of designated group
members in its education programs. Your indication of your designated
group status on this application will assist us in assessing our progress
in reaching this goal.
Aboriginal _______________ Person with disability _______________
Racial Minority _______________ Francophone _______________
Women _______________ Does not apply
_______________
Recommendation of Staff Representative:
__________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Recommendation/comments of Local Officer: ______________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_______________________________________
_______________________________________
Signature
Position
PLEASE RETURN THIS COMPLETED APPLICATION BY September 21, 2007.