Current Page 1 Page 2 Preview This application is collecting personal information under section 31(c) of Prince Edward Island's Freedom of Information & Protection of Privacy (FOIPP) Act. The personal information is necessary to determine your eligibility for an education grant, and for payment of funds if approved. If you have any questions about this collection of personal information, you may contact Nickey at the program office, 902-288-1148, or via email at nachristiansen@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 Has your address changed in the past 4 years? - Select -YesNo Previous address(es) in the last 4 years Previous address(es) in the last 4 years Address 1 Address 2 City, Town, or Community Province Postal Code Item weight Add more address more address Social Insurance Number (SIN) The Social Insurance Number is collected in order to issue a T4A after the grant is awarded. Employer Information Employer/Centre Name Centre Address Center City, Town or Community Supervisor First Name Supervisor Last Name Employer Telephone Number For example 902-555-5555 Employer Email