Manitoba Lotteries Corporation - Online External Employment Application

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*Date of Application:**	(YYYY-MM-DD)
*Date Available to Start Work:**	(YYYY-MM-DD)
Indicate Competition Number (if applying for advertised position):
*Type of Position Applied for:**
*Type of Employment:**	Full Time Part Time Casual All
*Availability:**	Days Evenings Nights Weekends All
*Preferred Work Location:**	Corporate Office Club Regent Casino McPhillips Station Casino Video Lotto (Morris, MB) Central Services (1390 Pacific) All

PERSONAL INFORMATION

*Last Name:**
*Legal First Name:**
Common or Usual First Name:
*Middle Name(s):**
E-Mail Address:
*Street Address:**
*City / Town:**
*Province / Territory:**
*Postal Code:**	(R1A 1A1)
*Home Phone:**	(204-123-4567)
Business Phone:	(204-123-4567)
Messages:	(204-123-4567)
*Do you have a valid Driver's License?:**	Yes No
Driver's License Class:
*Are you legally entitled to work in Canada?:**	Yes No
*If legally entitled work, choose one:**	Canadian Citizen Landed Immigrant Status Work Permit
*Are you 18 years of age or over?:**	No Yes
*Have you ever applied for a job at Manitoba Lotteries Corporation before?:**	No Yes
*Have you ever been employed by Manitoba Lotteries Corporation?:**	No Yes
If employed before, state period of employment:	From: (YYYY-MM-DD) To: (YYYY-MM-DD) Position:

EDUCATION HISTORY

Please describe secondary, post secondary, courses and training which have given you work related knowledge and skills. Specify the degrees, certificates or diplomas completed. Official documentation may be required.
	NAME OF INSTITUTION OR ORGANIZATION AND LOCATION	YEAR(S) TAKEN	AREA OF STUDY/ COURSE	GRADE/ CERTIFICATION/ DIPLOMA/DEGREE	COMPLETED
High School/GED					Y N
Business College or Technical School					Y N
Undergraduate College/University					Y N
Graduate/ Professional					Y N
Other related courses/ Continuing Education					Y N
Are you currently attending an educational facility?:			No Yes
If you are attending an educational facility, name of the facility:

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IMMEDIATE FAMILY EMPLOYMENT

For ongoing security purposes, it is important that the Manitoba Lotteries Corporation (MLC) be aware of any of your immediate family members who are currently employed by the MLC. Such information will enable MLC to optimize its internal security and to ensure that employees are not placed in positions where they are being supervised or monitored by immediate family members.*

Definition - Family Relationship: any relationship established by birth, adoption, marriage or through living with any person in a conjugal relationship outside of marriage including the following relationships:

Spouse
partner in a conjugal or same-sex relationship¹
(step) father (in-law)
(step) mother (in-law)
(step) child
(step) brother/sister

¹ "Partner in a conjugal or same-sex relationship": Defined as two employees who have cohabited in a continuing relationship for a period of at least three (3) months

To the best of my knowledge, I do not have any immediate family members who are employed by the Manitoba Lotteries Corporation.

Or

To the best of my knowledge, the following member(s) of my family are employed by the Manitoba Lotteries Corporation in the capacities indicated:

Name	Relationship	Position Held	Work Location

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EMPLOYMENT HISTORY

Begin with most recent employer.
If your duties or responsibilities changed substantially with the same employer, record each change as a separate position.
In the area for duties/responsibilities, please describe the MAJOR duties/skills used as they relate to the position you are applying for.
Please attach résumé in the Attachment tab, if available.

Present / Last Employer:
Employer Address:
Period of Employment:	From: (YYYY-MM-DD) To: (YYYY-MM-DD)
Occupation:
Rate of Pay:
Immediate Supervisor's Name:
Immediate Supervisor's Title:
Immediate Supervisor's Phone:
Immediate Supervisor may be approached for a reference?:	No Yes
Reason for leaving:
Describe duties/responsibilities and significant achievements:

Next to last Employer:
Employer Address:
Period of Employment:	From: (YYYY-MM-DD) To: (YYYY-MM-DD)
Occupation:
Rate of Pay:
Immediate Supervisor's Name:
Immediate Supervisor's Title:
Immediate Supervisor's Phone:
Immediate Supervisor may be approached for a reference?:	No Yes
Reason for leaving:
Describe duties/responsibilities and significant achievements:

Next to last Employer:
Employer Address:
Period of Employment:	From: (YYYY-MM-DD) To: (YYYY-MM-DD)
Occupation:
Rate of Pay:
Immediate Supervisor's Name:
Immediate Supervisor's Title:
Immediate Supervisor's Phone:
Immediate Supervisor may be approached for a reference?:	No Yes
Reason for leaving:
Describe duties/responsibilities and significant achievements:

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SKILLS AND TRAINING

Do you have any training or certification in any of the following areas? If so, please check:

C.P.R. Basic Rescuer	Customer Service	Fork Lift
Electronics	Sales	H.V.A.C.
Supervisory Skills	Food Equipment Service	Security/Crowd Control
Computer Programs	Typing/keyboarding	Groundskeeping
First Aid	Food Preparation

COMPUTER-RELATED SKILLS AND TRAINING

	SOFTWARE APPLICATION(S) (e.g., Word, Excel)	VERSION	PROFICIENCY LEVEL (beginner, intermediate, advanced)
WORD PROCESSING
SPREADSHEET
DATABASE
OTHER
KEYBOARDING SPEED:	WPM
Additional TRAINING or COURSES: Please specify dates

LANGUAGES

English	Speak	Read	Write	French	Speak	Read	Write
Other (Please list)					Speak	Read	Write

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EMPLOYMENT EQUITY

The Manitoba Lotteries Corporation is committed to the principles of employment equity. Women, Aboriginal people, persons with disabilities and visible minorities are invited to voluntarily identify their status. The information you provide will be kept confidential. It will be used for statistical analysis, reports and employment/program opportunities.

Please check the boxes that apply to you:

Female Male
Aboriginal (includes Status, Non-Status Indian, Métis and Inuit).
Visible Minority (examples: Black, Asian, Oriental, East Indian, etc.).
Person with Disabilities (examples: coordination, hearing, speech, mobility, vision, paralysis, etc.)

Attachment / Submission

Cover Letter

Cover Letter Filename:

Résumé

Résumé Filename:

Submission


*Enter the code above:**	(case-insensitive)