OSSTF/FEESO Awards of Recognition for Members

Jennifer MacLean Health and Safety Award · Jennifer MacLean Award Nomination Form

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Jennifer MacLean Award Nomination Form

You must submit this form to the Chairperson of the Provincial Health and Safety/Workplace Safety and Insurance Act Committee by January 31.

This online form features file upload capability. You are allowed to submit a maximum file size total of 20 MB of document attachments. If you submit your online form with document attachments over 20 MB, you will arrive at a Page Not Found error page. You would need to re-submit your online form, keeping within the total file size limit of 20 MB. To avoid arriving at this error page, we recommend that each file attachment should be no more than 3 MB. If you have reached the maximum file size and have not included all your attachments, please e-mail the remainder to christelle.chamberlain@osstf.ca.


Candidate:
District: (No.) (Name)
Bargaining Unit:
Workplace:
 
Endorsement by District and/or Bargaining Unit Executive :
 
District: (No.) (Name)
Bargaining Unit:
E-mail Address:
 
Candidate Information:
 
Length of Federation Service:


I. Please indicate specific roles and length of service related to Health and Safety.
 
Workplace:

 
District / Bargaining Unit:

 
Local / Community / Regional:

 
Provincial:

 
II. Please specify what leadership role the candidate has provided in the area of health and safety.

 
III. List all completed Health and Safety training and awards.

 
IV. Up to three (3) letters of support may be submitted.
(Filetypes allowed: .wpd / .pdf / .doc / .docx / .txt)