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DTA/RTW Committee (former SHR) Expression of Interest

DTA/RTW Committee (former SHR)

NOTE: Successful applicants will be contacted following the Union's internal vetting process.

1. Your First and Last Name: *This question is required.

2. Your Address (street, city, postal code): *This question is required.

3. Your phone number: *This question is required.

4. Your email: *This question is required.

5. Your Unit/Facility (must be part of former SHR): *This question is required.

6. Your Classification (CCA/Dietary, etc.): *This question is required.

7. Are you currently working? *This question is required.

Please enter an 'other' value for this selection.

8. Do you regularly attend your Unit's union meetings and events? *This question is required.

9. Have you been in any of the following leadership positions within your Unit? (check all that apply to you, and state how long you've been in that role(s)) in the open text box:

Shop Steward Please enter an 'other' value for this selection.
Unit Chair Please enter an 'other' value for this selection.
Communicator Please enter an 'other' value for this selection.
Vice Chair Please enter an 'other' value for this selection.
Occupational Health Committee Rep Please enter an 'other' value for this selection.

10. Have you attended union conferences/events/trainings before? *This question is required.

11. If you have attended union conferences/events/trainings, which did you attend?

12. Do you have any past experience or training in representing Members in their Duty to Accommodate or Return to Work? *This question is required.

13. If you have experience in assisting Members with their DTA/RTW, please describe:

14. Do you have the time to commit for committee work? (Usually 1 monthly meeting - excluding July/August) *This question is required.

15. If you are requested to become a Committee member, what attributes do you possess as a committee member? *This question is required.

16. Would you be able to commit to one year of participation on this committee? (note this is employer paid time)?

17. Additional comments: