Discussion Series Request Form

Topic:

Grounding Ourselves in Uncertain Times (1.5 – 2 hours)

Returning to the Workplace: Now What? (1.5 – 2 hours)

Anti-Racism: Let’s Talk! (6 hours + up to 1.5 hours of pre-session reading)

Mental Health: Let’s Talk! (3 – 3.5 hours)

Understanding the Collective Agreement: Let’s Talk! (3.5 – 4 hours)

Labour-Management Consultation: Let’s Talk! (6.5 – 7 hours)

Language:

Region:

Department/Agency:

Office Location (Address):

Virtual Conferencing Platform:

Requested Date and Time:

Choice 1)

Date

Start Time

Time zone

Choice 2)

Date

Start Time

Time zone

Participants

Number of participants (8-15):

What is your sector/unit responsible for?

What is the composition of the group?

E.g.: Approximate breakdown of employees, supervisors, managers, and union representatives

Specific Requirements:

Any needs participants may have (learning or accessibility).

Reason for request:

What are the main reasons for requesting the session? Are there any issues that facilitators should be aware of?

Please identify the points of contact who will be organizing participants for the virtual discussion.

Union Organizer

Name:

Title:

Email:

Work Number:

Ext:

Cell Number:

Other Number:

Union: