Current Page 1 Page 2 Preview Personal information on this form is collected under the authority of clause 31(c) of the Freedom of Information and Protection of Privacy Act and will only be used for the purposes of the program determining the suitability of nominees. Questions on the collection and use of this information can be directed to Matthew McRae, Executive Director, at mjmcrae@gov.pe.ca, or 902-368-6600. Identification Enter your contact details below. Provide a valid email address to receive a confirmation email once you submit the form. You’ll enter information about your nominee on the next page. 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 Preferred Pronouns What is your relationship to the nominee? Next Page >