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French Language Training Program PEI Public Service Commission Registration Form

Fields marked with a red star (*) are mandatory.

ALL FIELDS MANDATORY, INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED


First name: *
Last name: *
Employee ID: *
Job title: *
Home address: *
Phone: *
Home/Cell: *
Business E-mail: *
Please check your Department/Agency/Board/Commission: *

*Teachers may communicate directly with the French Programs Coordinator at 902-438-4859, for departmental funding if they wish to take the French Language Training offered by the Collège Acadie ÎPÉ.

**For these government institutions, please provide an email or letter confirming the 50% contribution from your employer. See guidelines for more details.

Justice and Public Safety
Workforce and Advanced Learning
Family and Human Services
Economic Development & Tourism
Executive Council Office
PEI Liquor Control Commission
Health PEI
Education, Early Learning & Culture*
Health and Wellness
Finance
Agriculture and Fisheries
Transportation, Infrastructure and Energy
PEI Public Service Commission
Museum and Heritage Foundation
Legislative Assembly
Communities, Land and Environment
Island Waste Management Corporation**
Island Regulatory and Appeals Commission**
Human Rights Commission**
Workers Compensation Board**
Innovation PEI**
À vous French Language Training Program


If you are applying for the first time, check this box to be contacted for placement:
Yes
Were you enrolled in the French Immersion program?:
If you have taken French language training other than French Immersion, please list.:
What evenings work best for you to attend class ?:
Monday
Tuesday
Wednesday
Thursday
No Preference
Where do you prefer to take your training?:
Charlottetown
Summerside
Deblois
Montague
Other
Level:
Beginner
Intermediate
Advanced
Maintenance (lunch time)
Refining Skills (perfectionnement)
Combined (online/classroom)
Uncertain/other
Uncertain/other:
ATTENDANCE AND REIMBURSEMENT POLICY


STUDENTS MUST ATTEND 8 OUT 11 CLASSES IN A SESSION. IF MORE THAN THREE CLASSES ARE MISSED STUDENTS MUST REIMBURSE 50% OF THE COST ($125).

IF YOU MUST WITHDRAW, PLEASE CONTACT THE FUND ADMINISTRATOR AT 902-368-6175

I HAVE READ AND UNDERSTAND THE ATTENDANCE AND REIMBURSEMENT POLICY: *
Yes
French Language Training Program Tel: 368-6175 Fax: 368-4383 Website: www.gov.pe.ca/psc/french



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