Workin 2 Win

Fill out the form online (below) or print the PDF

If this is your first time enrolling for the Workin’ 2 Win Employee Draw, complete the form below.

Enrollment Form

Are you a registered volunteer, physician or casual staff not on the Health PEI payroll?*
- Yes
- No
No problem! Simply download and print the enrollment form, complete the form, and drop it off to the QEH Foundation office.
*
- I hereby authorize Health PEI Payroll Department to deduct five dollars ($5.00) from my pay every two weeks for participation in the Workin’ 2 Win Employee Cash Draw. I may cancel at any time by providing thirty days’ (30) written notice to the Queen Elizabeth Hospital Foundation.
Name*
Employee #*
Facility*
Department
Home Address*
Street Address Address Line 2 City Province Postal Code
Tel. Work*
Home
Email Address*
As a winner, you have my permission to use my photo for internal publication (newsletter, website, etc)
- Yes
- No
Comments
This field is for validation purposes and should be left unchanged.

Rules and Regulations

Participation is open to Health PEI employees in the Queens County area and members of the QEH “family” (casual and non-salaried employees, volunteers, physicians and QEH Auxiliary).

A minimum of 400 participants is required at all times.

$5.00 will be deducted from the employee’s pay each payday (every 2 weeks). These deductions are not eligible for charitable receipts.

Those not on the Health PEI payroll, but included in the QEH family can participate by paying one lump sum of $130 per year (cash, cheque or credit card).

All proceeds are shared between the QEH Foundation and the QEH Auxiliary, and will be used toward the annual equipment campaign.

Each payday winner is notified personally.

If this is your first time enrolling for the Workin’ 2 Win Employee Draw, complete the form below.

Rules and Regulations

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