Free Your Voice, Stand Your Ground 2026

Last Name

First Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Mailing Address (if different)

Preferred Phone Number

Type of preferred phone number:

Secondary Phone Number

Type of secondary phone number:

Personal Email

(do not use the employer's email)

Employer

Work Site Name

Job Title

HEU Local (if known)

Employment Status

Full-time

Part-time

Casual

Region

Fraser

Interior

North

Vancouver Coastal (includes PHSA)

Vancouver Island

Do you self-identify with any of the following equity groups? (check any that apply)

Indigenous

2SLGBTQIA+

Worker with disabilities

Worker of Colour

Two-spirit, women & non-binary

Young Worker (35 years or younger)

Older Worker (55 years or older)

Prefer not to say

Emergency Contact Name

Emergency Contact Phone

Do you have any medical condition(s) or is there anything else that we should be aware of that could impact your ability to participate in this event?

Yes

If yes, please briefly explain. (In some cases, a physician's note may be required).

Do you have an accessibility requirement?

Yes

If so, please specify:

Why are you interested in participating in the Free Your Voice, Stand Your Ground workshop?

Applicant Signature

Please sign above

After the closing date of this workshop, you will be notified by email if your application is accepted and you will be required to apply for a leave of absence for union business. Due to a limited amount of space, we may not be able to accept all applications. We will also notify unsuccessful applicants by email. Please ensure the email address on your application is current.

Please click submit below to complete your application.