CUPE Manitoba Convention 2023 Credential Registration Form I have been authorized by my CUPE Local to register for the 2023 CUPE MB Convention Member information Name: Address: Phone # (Cell): E-mail address: Please indicate whether you will be attending as a Delegate, Observer or Guest: DelegateObserverGuest Self-identificationIf 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: Woman2SLGBTQI+Persons Living with a DisabilityYoung Member (35 Yrs Old or Younger)IndigenousRacialized Convention CommitteesI am interested in sitting on the following Convention Committee(s): ResolutionsConstitutional AmendmentsCredentials ** To sit on a CUPE Manitoba Convention Committee, you must be a delegate to the convention. Local Information Local #: Workplace (Employer): Total # of local members If 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 RSVP's for the CUPE National Officer's Lunch and the CUPE Manitoba Dinner I would like to attend the National Officer's Lunch YesNo I will be attending the CUPE Manitoba Dinner on Thursday, May 18th Details to come in second Convention Call YesNo Allergies and Food Sensitivities (Please provide details) Political Action May 16 I will be attending the CUPE Manitoba Political Action training and sector strategy session on May 16, 1-4 pm. Details to come in second Convention CallYesNo
