Premier's Youth Council Application | eServices Prince Edward Island

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

Date of Birth

Please note that applicants must be between the ages of 16-29 when you apply.

What is your first language?

Specify other language:

Are you interested in receiving email updates about on-going work of the Premier's Youth Council?

Are you interested in having your information submitted to a database for possible future youth engagement opportunities?