Apply for a Teacher's License - UPEI Education Graduates

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Identification

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

Previous Name

If you were educated or previously certified in a name other than that used above please state the other name.

Date of Birth *

Year

Month

Day