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First name & Middle Initial*

Last name*

Address*

Date of Birth*

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Do you identify as (check any that apply)

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Are you legally eligible to work in Canada*

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Do you have a valid driver's license*

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If yes, Class / Province*

Do you have access to reliable transportation*

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Are you able to work at multiple locations*

yes

no

Home Phone*

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Email*

Availability*

Please enter for Monday to Sunday and time

Position*

Start Date*

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Diversity Food Services

401 Spence Street

Winnipeg, MB, R3B 2E9

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