PSA CPSU NSW Mental Health Conference 2023

Question Title

* 1. Contact Information

First Name

Last Name

Address

Suburb

Post Code

Email Address

Phone/Mobile Number

Question Title

* 2. PSA Membership Number

Question Title

* 3. Do you identify as

A person with a disability

Aboriginal or Torres Strait Islander

Question Title

* 4. Do you have accessibility requirements or need to discuss an adjustment in order to attend?

Yes

Question Title

* 5. I am a

Health & Safety Representative

Health & Safety Committee member

Central Councillor

Women's Councillor

Pride Councillor

Aboriginal Councillor

Elected Delegate from a Workplace Group

PSA Member

Question Title

* 6. Work Details
Your work details are required so that the letter requesting your special leave is forwarded directly to your supervisor.

Employer / Agency / School

Your job title

Question Title

* 7. Your Human Resources and/or Supervisor/Manager/Principal details.
(the release letter will be addressed for the attention of this person)

Question Title

* 8. Please tell us if you need to fly to attend the conference, as the PSA will book flights.
Please note there will be no overnight travel allowance paid to attend this conference.

PSA CPSU NSW Mental Health Conference 2023

Question Title

* 1. Contact Information

Question Title

* 2. PSA Membership Number

Question Title

* 3. Do you identify as

Question Title

* 4. Do you have accessibility requirements or need to discuss an adjustment in order to attend?

Question Title

* 5. I am a

Question Title

* 6. Work Details
Your work details are required so that the letter requesting your special leave is forwarded directly to your supervisor.

Question Title

* 7. Your Human Resources and/or Supervisor/Manager/Principal details.
(the release letter will be addressed for the attention of this person)

Question Title

* 8. Please tell us if you need to fly to attend the conference, as the PSA will book flights.
Please note there will be no overnight travel allowance paid to attend this conference.

Question Title

* 9. Do you have any dietary requirements?

Question Title

* 10. Any further comments

PSA CPSU NSW Mental Health Conference 2023

Question Title

* 1. Contact Information

Question Title

* 2. PSA Membership Number

Question Title

* 3. Do you identify as

Question Title

* 4. Do you have accessibility requirements or need to discuss an adjustment in order to attend?

Question Title

* 5. I am a

Question Title

* 6. Work DetailsYour work details are required so that the letter requesting your special leave is forwarded directly to your supervisor.

Question Title

* 7. Your Human Resources and/or Supervisor/Manager/Principal details.(the release letter will be addressed for the attention of this person)

Question Title

* 8. Please tell us if you need to fly to attend the conference, as the PSA will book flights.Please note there will be no overnight travel allowance paid to attend this conference.

Question Title

* 9. Do you have any dietary requirements?

Question Title

* 10. Any further comments

* 6. Work Details
Your work details are required so that the letter requesting your special leave is forwarded directly to your supervisor.

* 7. Your Human Resources and/or Supervisor/Manager/Principal details.
(the release letter will be addressed for the attention of this person)

* 8. Please tell us if you need to fly to attend the conference, as the PSA will book flights.
Please note there will be no overnight travel allowance paid to attend this conference.