General Information: Personal Information: All fields are required. Name: Work Address: Phone Number: Fax Number: Email Address: Employment Information: Note: The following information is used for statistical purposes only and will be held strictly confidential Ministry/Crown Corporation: Start Date with Government/Crown: Current Job Title: Current Employment Status: Out-of-scope In-scope, which Union: Permanent Part-time Term Other: AGEN Membership Status: AGEN Voting Member AGEN Alumni (any previous AGEN voting member who is no longer employed with the Government of Saskatchewan who supports the vision/mission of AGEN) Friend of AGEN (any person employed outside of the Crown corporations or Executive Government or any non-Aboriginal person who supports the vision/mission of AGEN) Aboriginal Status: First Nation Métis Inuit Non-Aboriginal Are you interested in volunteering for Pîkiskwêwak, Speaker's Bureau? Yes No Would you like to receive occasional email updates from AGEN? Yes, you have my permission. No, thank you.