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About Us
National Executive
National Committees
Bylaws, Regulations and Policies
Members & Locals
Find Your Collective Agreement
Find Your Local
Alberta and the North
British Columbia
Communications Security Establishment
Manitoba & Saskatchewan
National Capital Region
Newfoundland Labrador and New Brunswick
Non-Public Funds
Nova Scotia
Ontario
Quebec
Get Involved
Our Campaigns
Stop Contracting Out
Phoenix Pay System
Privatization
Childcare
Thirsty for Justice
Resources
Member Resources
New to UNDE? Read our Welcome Kit
File a Grievance
Union Education Program
Awards Program
Union Representative Resources
Travel Forms
Election Forms
Online Store
News & Events
Contact Us
EN
FR
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Name
*
First
Last
Local
*
Email
*
member not please
Do you self‐identify as a member with a disability?
*
Yes
No
If yes, then what are the functional limitations arising from your disability?
*
You do not need to disclose your diagnosis.
Do you require documentation in alternative media?
*
Diskette
18 Font
Other (please specify in next field)
Other alternative media required
Required (Check all that apply)
Sound amplification
Sign language
Oral interpreter (for persons who are hard of hearing)
Reader (for persons with visual impairments)
If not indicated, please list suggestions for accommodating your functional limitations
You may be required to provide relevant medical documentation that will assist us to respond to your request. This information will not be disclosed except where necessary to respond to your request for accommodation.
Do you have any dietary requirements or allergies we should be aware of?
*
Yes
No
If yes, please specify
Chemical sensitivity
Nut allergy
Food restriction
Other
Please specify other requirements
Which of the following do you require at the hotel
Wheelchair accessible room
Room with only one bed
Room with two beds
Special cleaning requirements (please specify)
Other hotel requirements
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