Immigrant & Refugee Services Association PEI (IRSA) - Client Registration

Please fill out and submit this registration form if you are a newcomer to Canada settling in the province of Prince Edward Island and are not yet registered with IRSA.

The form must be filled out and submitted for each family member individually. If registering a family, begin with the Principal Applicant. Principal Applicant is the family member who is considered the main applicant in a family's immigration process. If you immigrated alone, you are considered the principal applicant.

The information you enter must match the information in the registrant's immigration documents.

Fields marked with * are mandatory to submit the form.

Relationship to the Principal Applicant
Basic Personal Information

The information you enter must match the information in the immigration documents for this registrant.

If the registrant uses a name or names different from those in their immigration documents, they can be provided to a settlement worker after the registration is completed.

Language Information
  3.  

Contact Information

Please enter the address of your temporary accommodation if you don't have permanent housing yet.

If this registrant is not the Principal Applicant and this person doesn't have their own email address or phone number, please fill out the Principal Applicant's information.

Immigration Information
Employment and Education Information
Additional Information
Consent Statement

Immigration, Refugees and Citizenship Canada (IRCC) may want to contact you in the future. They will ask only about IRCC services, including services you receive from our organization, and if these services were useful to you and helped you settle in Canada. IRCC will use your answers, and answers from other immigrants, to improve services for all immigrants. This is voluntary: you are not obligated to answer IRCC’s questions. IRCC will not use your information to make any decisions about you personally.

Privacy policy

Because you are providing sensitive personal information through this form, it is important that you read and understand IRSA's Privacy Policy before proceeding with the registration.

Privacy Policy

This Privacy Policy explains how information about you is collected on the Immigrant & Refugee Services Association PEI (IRSA) website, and how this information is used and disclosed through IRSA programs and services.

This Privacy Policy only applies to information collected on this website and is not intended to fully describe the privacy policies of IRSA. By providing your information through the forms on this website, you consent to the practices described in this Privacy Policy.

In this Privacy Policy, the terms we, us, and our include all IRSA employees, volunteers, and contractors who have access to the personal information collected through this website. All IRSA employees, volunteers, and contractors are required to sign a declaration pledging to keep any client information safe and confidential.

Collection of information

We collect the information you provide directly to us when you fill out and submit a form on this website to contact us, register as a client, sign up as a volunteer, or express interest for one of our workshops.

This information may include your legal name, your contact information (email address, phone number, mailing address), and other data that identifies and describes you.

Personal information of minors (persons under 18 years of age)

We require a parent or guardian to fill out any registration forms on behalf of a minor.

Handling and use of the collected information

We will not sell or rent the information you provide to anyone.

We use your information to communicate with you and to provide services to you.

We store the information you provide to us on electronic systems equipped with safeguards to ensure information security and privacy.

Sharing of the collected information

We will share your information with a third party only to help you access programs and services provided by that third party. This includes:

  • Provincial and federal government agencies - to help you obtain important Canadian and PEI documents, access benefits, etc.
  • Schools - to provide support with your children's school enrollment and assist you with navigating the school system
  • Medical offices (Public Health, doctors, dentists, etc.) - to help you set up appointments and navigate the health care system
  • Other agencies or organizations providing services to PEI residents, as needed

  1. I have read and understood the IRSA Privacy Policy.

Legal Statements

  1. I am 18 years of age or older, or my parent/guardian filled out and will submit this form on my behalf.

    I hereby give my consent to receive electronic communications from Immigrant & Refugee Services Association PEI and its staff.

    I have read and understood the IRCC pamphlet Gathering Information.

IRSA News Subscription

IRSA sends out newsletters with information on various programs and activities. Subscribers can choose their areas of interest.

If you select yes, we will send a message to the email address you provided in this form to confirm your subscription. You can unsubscribe any time.

Are you a real person? (no robots please)
  1.  
    Please answer the following question:
    Combien fait 5 plus 3 ?

Formulaire d'inscription du client

Ce formulaire d'inscription est destiné aux nouveaux immigrants au Canada qui s'installent dans la province de l'Île-du-Prince-Édouard, qui souhaitent recevoir des services de l'Association des services aux immigrants et aux réfugiés de l'Î.-P.-É. (ASIR) et qui ne sont pas encore inscrits comme clients de l'ASIR.

Important :

Le demandeur principal (Principal Applicant) est le membre de la famille qui est considéré comme le demandeur principal dans le processus d'immigration d'une famille. Si vous avez immigré seul, vous êtes considéré comme demandeur principal.

Si vous inscrivez une famille, commencez par le demandeur principal, puis remplissez le formulaire pour chaque membre de la famille supplémentaire.

Les informations que vous saisissez doivent correspondre aux informations contenues dans les documents d'immigration du déclarant.

Le formulaire n'est actuellement disponible qu'en anglais. Si vous avez besoin d'aide pour le remplir, veuillez nous contacter et quelqu'un vous contactera.

Coordonnées

Association des services aux immigrants et réfugiés de l'Î.-P.-É. - ASIR
49, rue Water
Charlottetown Î‑P‑É C1A 1A3
Carte et directions

Téléphone : 902-628-6009
Télécopieur : 902-894-4928