Application for Employment

Please answer the following questions carefully. For more information about filling out this form, go to How to apply. (*Required Fields)

*Position Applied for:
*Where did you hear about us?
*Have you worked for Manitoba Public Insurance in the past?

Personal Information
*First Name:
*Last Name:
*Address 1:
Address 2:
*Postal Code/Zip:
Telephone Number(s)
Residence - -
Business - -
Cellular - -

*What type of employment are you looking for? (select all that apply)

*Languages Spoken:  

Highest level of education completed (in descending order)
Type Degree/Diploma/Certificate received Specify if not listed Year Completed

Previous Experience: Years Experience:

*Which of our locations would you like to be considered for? (Select all that apply)

We believe diversity strengthens us. Indigenous persons, visible minorities and persons with disabilities are encouraged to make a voluntary declaration.

*Have you been convicted of a criminal offence for which a pardon or record suspension has not been granted?

*Upload Cover Letter:
*Upload Resume:

*I hereby declare that the foregoing information is true and complete to my knowledge. I understand that incorrect statements may disqualify me from employment, or cause my dismissal.

© 2008 Manitoba Public Insurance