Current Page 1 Page 2 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 administration of seasonal jobs. If you have any questions about this collection of personal information, you may contact Lindsay Moore at 902-620-3356 or email seasonaljobs@gov.pe.ca. 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 How are you legally entitled to work in Canada? - Select -Canadian CitizenPermanent ResidentPursuing Eligibility to Work in CanadaTemporary Work Permit Date of Expiry: Do you require special accommodation for a disability? - Select -YesNo What special accommodation(s) do you require? Are you bilingual? - Select -YesNo Please specify: What is your preferred language of communication? Check all that apply. English French Are you applying as an Employment Development Agency Special Program applicant? - Select -YesNo Date of Birth Emergency Contact Name Emergency Contact Telephone Number