Name
*
First Name
Last Name
E-mail
*
Phone Number
*
Format: (000) 000-0000.
MMF Region
*
Please Select
Interlake
Southeast
Southwest
Northwest
The Pas
Thompson
Winnipeg
Are you a Red River Métis Citizen?
*
Please Select
Yes
No
In Process
MMF Citizenship #
Are you currently employed at a licensed Early Learning and Child Care Centre in Manitoba?
*
Yes
No
Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Eligibility Attestation:
*
I have completed Manitoba Grade 12 or equivalent.
I have English 40S/40G or equivalent with a mark of at least 60%.
I can provide a current Criminal Record Check, Vulnerable Sector Check, and Child Abuse Registry Check.
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