Application for Membership on the Ontario Young Professionals Advisory Committee

Name       
Branch    
Group    
Are you under the age of 40?  Year of Birth    
Are you a Steward?  If yes, how long?    
Are you a member of an Executive?    
If yes, please provide details    
Application to be a committee member or friend?    

Please describe any other Union related activities, or experience related to youth

Rationale

Applicant Signature    

Other Information
Please return the completed form to:  ONT_Executive@pipsc.ca no later than Friday February 9, 2018