Expression of Interest (Members)

If you are interested in an opportunity to be involved in the decisions and purposes of PEINU, we ask that you complete the form below.

Please note: Fields indicated with “*” are required and must be completed before form will submit successfully.

Name:*
First Last
Address:*
Street Address City State / Province / Region ZIP / Postal Code Country
Telephone Home:*
Telephone Work:*
Email:*
Employee ID No. (6 digits):
Local/Worksite:*
Current Area of Practice:
Union Experience / Background:*
Amount of Time you are available to serve on a Standing Committee:
Restrictions / barriers to serving on a Standing Committee:
Committee:
- Benefits Insurance
- Constitution & Resolution
- Education Fund
- Finance
- Grievance
- Negotiations
- Nominations
- NP Working Group
- Pension
- Political Action
- Public Relations
Please provide a brief statement telling us why you are interested in serving on a Provincial Standing Committee.
How to Contact Us:
PEI Nurses Union
10 Paramount Drive
Charlottetown, PE C1E 0C7

Tel: (902) 892-7152
Toll Free: 1-866-892-7152
Fax: (902) 892-9324
office@peinu.com
Additional information can be submitted via an attached document.
Max. file size: 1 GB.
Submitted by:
Member's Name:*
First Last
Member's Email:*
Member's Telephone:*
Signature*

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PEI Nurses’ Union
10 Paramount Drive
Charlottetown, PE
C1E 0C7
Get Directions

Open Monday to Friday
8:00am – 4:00pm

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