Convention 2025 Registration

I have been authorized by my CUPE Local to register for the 2025 CUPE MB Convention

Member information (Please provide information below for the individual delegate/observer, not Local contact information)

Name:

Home Address:

Phone # (Cell):

E-mail address:

Please indicate whether you will be attending as a Credentialed Delegate or Credentialed Observer:
DelegateObserver

Self-identification
If you are a member of any Equity groups and wish to register to vote for the Equity Representatives at their respective caucus meetings during convention, mark the appropriate squares below:
Woman, in all their diversity2SLGBTQI+Persons Living with a DisabilityYoung Member (35 Yrs Old or Younger)IndigenousRacialized

Sector Identification
Which sector do you belong to as a CUPE member?
Municipal & Library Steering SectorSchool Division SectorPost-Secondary SectorSocial ServicesChild Care SectorHealth, Long-Term, and Home Care SectorProvincial and Territorial Organizations Sector (also known as Crown Corporations)Other

Will you be attending the Sector Conference May 12th, 1 - 4 PM?
YesNo

Convention Committees
I am interested in sitting on the following Convention Committee:
Resolutions & Bylaw AmendmentsCredentials

** To sit on a CUPE Manitoba Convention Committee, you must be a delegate to the convention. Convention Committees may meet up to (2) times before Convention: One month prior to Convention, and one day prior to Convention. Meeting dates to be provided to Convention Committee delegates following Convention 2nd Call. Only those selected for a Committee will be contacted. Thank you.

Local Information

Local #:

Workplace (Employer):

Total # of members in Local

If your local is under 100 members, is request being made for small local assistance? (As per Article 7 of Bylaws, Small Local Assistance)
YesNo

Attendance and RSVP Request

I would like to attend the National Officers’ Breakfast on Wednesday, May 14.
YesNo
National Officers Breakfast Allergies and Food Sensitivities (Please provide details for planning purposes)

New this year!

In place of a banquet dinner there will be a Solidarity Social & Games Night with Exciting Prizes.

I will be attending the Solidarity Social & Games Night:
YesNo