Application Form

Name :

PIPSC ID Number :

Subgroup :

Department :

Work phone :

Home phone :

Cell phone (if available) :

Email address :

(We do not use work email addresses for negotiations.)

Years as a public service employee :

Years as a member of the CS group :

Years as a steward :

Have you been on any previous CS Contract Proposals Committees?

(if yes, indicate which years served)?

Have you been involved in other CS Group Activities?

Please describe the main activities(Add another page if need be)

Describe how well you know the content of the CS collective agreement. (Add another page if need be.)

Do you wish to be on the Negotiating Team?