1 Current Page 1 2 Page 2 3 Preview Personal information on this form is collected under section 31(c) of the Freedom of Information and Protection of Privacy Act R.S.P.E.I. 1988, c. F-15.01, as it relates directly to and is necessary for the PEI Nursing Recruitment Incentive Program and will be used for this purpose. If you have any questions about this collection of personal information, you may contact the Recruitment and Retention Secretariat. Identification First Name Middle Initial Last Name Address 1 Address 2 City, Town, or Community Province Postal Code For example C1B 0X1 or 12345 Country Telephone Number For example 902-555-5555 Email Address What language(s) do you speak? English French Other Other Language(s) Alternate Contact First Name Last Name Telephone Number For example 902-555-5555 Email Address If you have questions regarding the Nursing Recruitment Incentive Program or relocating to Prince Edward Island, please contact healthrecruiter@gov.pe.ca. If you have questions regarding the Public Service Commission’s competitive process, please contact 902-368-4080 or healthrecruiter@gov.pe.ca.