Engage PEI Application Form

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Personal information on this form is collected by the Executive Council Office under section 31(c) of the Freedom of Information and Protection of Privacy Act for program administration purposes. Questions regarding the collection or use of this information can be referred to the program coordinator at engagepei@gov.pe.ca.

Identification
Provide your civic address in the fields below.
For example C1B 0X1 or 12345
For example 902-555-5555
Demographic Information
We are committed to promoting diversity and inclusion within our Agencies, Boards, and Commissions to ensure they are representative of the richness of our Island community. While the following questions are optional, the information collected will help us identify any underrepresentation and enable us to adopt more inclusive engagement approaches with diverse populations across PEI. In support of increasing diversified representation, the information collected may also be used in the assessment of applications. All information collected will be kept confidential.
Which gender(s) do you most identify?
Check all that apply.
Which race and/or ethnic category best describes you?

Check all that apply.