Personal Information Information message AUPE will not disclose your information without your permission. We do not send any of your personal data to your employer without permission. AUPE collects information to track and address Short Staffing issues at your worksite. This data may be used for statistical purposes and some non-identifying information may be shared for bargaining (not your name).You may also choose to not include any personal information at all. If so, please check the box below.Submit anonymouslyBy checking this, you will not be asked to provide your name or any other personal information.Member IDFirst nameLast namePersonal emailPersonal phone number Information message No personal information will be shared with AUPE. Information message If any of the information that autofilled above is incorrect, please click here to update your personal information. Worksite InformationLocal- Select -001 - Administrative and Support Services002 - Administrative and Program Services003 - Correctional and Regulatory Services004 - Trades and Related Services005 - Natural Resources Conservation006 - Social Services009 - Health and Support Services012 - Technical and Field Services020 - Alberta Treasury Branches (ATB Financial)038 - Northern Alberta Institute of Technology (NAIT)039 - Southern Alberta Institute of Technology (SAIT)040 - Covenant ANC and GSS041 - AHS South Zone ANC042 - The Good Samaritan Society043 - AHS North Zone ANC044 - AHS Central Zone ANC045 - AHS Calgary Zone ANC046 - AHS and Covenant Edmonton Zone ANC047 - Continuing Care Separate Employers North048 - Continuing Care Separate Employers South049 - Capital Care Group050 - Alberta Gaming, Liquor and Cannabis Commission052 - University of Calgary053 - University of Lethbridge054 - AHS Edmonton Zone GSS056 - AHS North Zone GSS057 - AHS Central Zone GSS058 - AHS Southern Zone GSS060 - Alberta Innovates and InnoTech Alberta069 - Athabasca University071 - Colleges and School Divisions084 - Continuing Care Separate Employers Central/South095 - AHS Calgary Zone GSS118 - Local Government and AgenciesChapterWorksiteSector- None -Government ServicesHealth CareEducationBoards, agencies, and local governmentWorking Short Occurance(s)DatesDateShift details How many workers were you short?OperationsDateShift details - None -Whole shiftPart shiftDaysEveningsNightHow many workers were you short?Impact on you of working shortExcessive workloadBurnoutClient-patient safety / careDid not get a break/lunchCould not complete all tasks assignedWas an agency or contract worker brought in to fillRushedFelt stressed/upsetOther…Enter other…How did working short impact you after shift ended?Physical exhaustionMental exhaustionHard time sleeping/winding downDifficulty waking/late for workTook illness timeOther…Enter other…Employers handling of short staffing issues?Anything else you would Like us to know. We want to capture working short data and experiences from all AUPE sectors. Are there any further comments or insights specific to your sector or individual experience that you would like to share?There are mobilizing tactics to utilize regarding fighting back against working short. Would you like someone to get in touch with you about this?I would like to receive a copy of this formSend copy to this email addressYour personal information is collected under the authority of the Freedom of Information and Protection of Privacy Act (FOIP) and the Personal Information Protection Act (PIPA). If you have any questions about the collection of your personal information please call the Member Resource Centre at 1-800-232-7284 or 780-930-3300 and ask to speak to the Privacy Officer.