Time-Off Required

Number of paid hours worked in a shift*

Hourly base rate of pay* CA$

Specify any shift differentials that will apply for Convention dates:*

Specify any shift differentials that will apply for Convention dates:
	Day shift	Evening shift	Night shift	Weekend shift
Wednesday Oct. 16, 2019	Specify any shift differentials that will apply for Convention dates:: Wednesday Oct. 16, 2019 (Day shift)	Wednesday Oct. 16, 2019 (Evening shift)	Wednesday Oct. 16, 2019 (Night shift)	Wednesday Oct. 16, 2019 (Weekend shift)
Thursday Oct. 17, 2019	Thursday Oct. 17, 2019 (Day shift)	Thursday Oct. 17, 2019 (Evening shift)	Thursday Oct. 17, 2019 (Night shift)	Thursday Oct. 17, 2019 (Weekend shift)
Friday Oct. 18, 2019	Friday Oct. 18, 2019 (Day shift)	Friday Oct. 18, 2019 (Evening shift)	Friday Oct. 18, 2019 (Night shift)	Friday Oct. 18, 2019 (Weekend shift)
Saturday Oct. 19, 2019	Saturday Oct. 19, 2019 (Day shift)	Saturday Oct. 19, 2019 (Evening shift)	Saturday Oct. 19, 2019 (Night shift)	Saturday Oct. 19, 2019 (Weekend shift)
Other	Other (Day shift)	Other (Evening shift)	Other (Night shift)	Other (Weekend shift)

Please provide reason for Other:

Wednesday Oct. 16 - Hours

Convention Registration will be open between 3:00 - 7:00 pm on Wednesday, October 16, 2019 at the Shaw Conference Centre. If you need time off during the day on Wednesday, October 16, 2019 please indicate below and specify the reason you need time off during the day (i.e. Local meeting, PE meeting, or for travel time).

Local meeting (Local expense) hours

PE Meeting Hours

Travel time hours (out of town only)