Crisis Response Signup Form

Please fill out and submit the form below if you are looking to offer assistance to refugees potentially arriving in Prince Edward Island in a time of crisis and urgency.

Submitting this form expresses your interest to help out and is not binding in any way. IRSA is collecting the contact information of people offering help, so we can reach out if and when the help is needed.

Contact Information

First name
Last name
Email
Phone number
Address
City/town
Postal code

Help Offered

Supports you are offeringplease list what you are able to offer (amenities, accommodations, other supports)

Legal Statements

By submitting this form you agree to the following statements

	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.

Are you a real person? (no robots please)

Please answer the following question:
What's 6 divided by 2?
Your answer

Crisis Response Signup Form

A note to Islanders looking to help Ukrainians

联络资料