Skilled Worker Application Form – Morden Immigration

Morden Community Driven Immigration Initiative

Skilled Worker Application Form

👋 Welcome! – Step 1 of 8

By applying to the Morden Community Driven Immigration Initiative, you are applying for Morden’s support for your future application to the Manitoba Provincial Nominee Program.

It is your responsibility to ensure that you meet and continue to meet the criteria of the MPNP.
Please visit www.mordenimmigration.com for criteria.

Submission Date *

***Before filling this form, please note that the application must be supported by an attached valid language test result and all other REQUIRED attachments or it will not be reviewed. Please obtain necessary documentation before applying***

Full Legal Name of PRINCIPAL APPLICANT as per passport *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Confirm Email

Federal Express Entry Number *

If you do not have a Federal Express Entry Number, enter N/A

Date of Birth: *

Country of Birth *

Gender *

Female
Male

Language test score (IELTS/CELPIP or TEF/TCF) *

IELTS – General
CELPIP – General
TEF/TCF – Canada

(Note that application will not be reviewed if there is no proof of language ability attached to this application)

Language test result (IELTS, CELPIP, TEF, TCF) REQUIRED *

Click or drag files to this area to upload. You can upload up to 10 files.

Date of test *

Listening *

Reading *

Writing *

Speaking *

CO *

CE *

EE *

EO *

b) Indicate how did you hear about this program.

Consultant (You must declare consultant info if you have had assistance or advice in filling this form)
Website
Family/Friend referral
Other

Consultant information *

Contact name, company, email and ICCRC ID number.

Please identify the website *

Name and address of family/friend *

Other *

a) Do you have family, friends or associates in Canada? (Associates are people you do not know personally or may have never met – for example friends of friends) *

In Morden area

Family
Friends
Associates

Name and Street address of family/friend/associates

Email address of family/friend/associate *

Confirm Email

Other parts of Manitoba

Family
Friends
Associates

City of family/friend/associate

Other parts of Canada

Family
Friends
Associates

City of family/friend/associate

How long have the above friends or family been in Canada? If they are in Manitoba, are they able to support your application directly to the MPNP?

Full Legal Name of SPOUSE *

First

Last

If no spouse, enter N/A

Spouse Date of Birth

Spouse Country of Birth

Spouse Gender

Female
Male

Spouse Language test score (IELTS/CELPIP or TEF/TCF)

IELTS – General
CELPIP – General
TEF/TCF – Canada

Date of test

Listening

Reading

Writing

Speaking

DEPENDENT CHILDREN (if applicable) (Follow this link for definition of dependent children)

Child #1 Birthdate

Child #2 Birthdate

Child #3 Birthdate

Child #4 Birthdate

a) The Provincial Nominee Program (MPNP) requires that applicants have sufficient settlement funds available when they move to Manitoba. Settlement funds and other assets must be only in the name of the principal applicant or spouse.
Please List IN CANADIAN (CAD$) EQUIVALENT funds

Cash / Account *

House / Apartment Value *

Other *

a) What type/field of employment would you be most interested in gaining on arrival to Morden? *

Declared NOC code of Principal applicant – Please see note at the front of this form regarding accepted occupations for the remaining of 2024 (Nurses and Physicians). *

See https://www.canada.ca/en/immigration-refugees-citizenship/services/immigrate-canada/express-entry/eligibility/find-national-occupation-code.html#find

Declared NOC code of Spouse if applicable

See https://www.canada.ca/en/immigration-refugees-citizenship/services/immigrate-canada/express-entry/eligibility/find-national-occupation-code.html#find

b) Education of Principal Applicant

Give full details of all education (including secondary/high school, university/college/apprenticeship training) inside and outside of your home country (including Canada if applicable).

University/College Education Details *

Please provide the following information:

Name of Institution(s)

Start Date

End Date

City and Country

Type of certificate or diploma issued

Other Education Details

Please provide the following information:

Name of Institution(s)

Start Date

End Date

City and Country

Type of certificate or diploma issued

b-1) Education of Spouse

Give full details of all education (including secondary/high school, university/college/apprenticeship training) inside and outside of your home country (including Canada if applicable)

Spouse University/College Education Details *

Please provide the following information:

Name of Institution(s)

Start Date

End Date

City and Country

Type of certificate or diploma issued

Spouse Other Education Details

Please provide the following information:

Name of Institution(s)

Start Date

End Date

City and Country

Type of certificate or diploma issued

c) Work History of Principal Applicant

Give full details of all work history inside and outside of your home country (including Canada if applicable)

Work History Details *

Please provide the following information for each job in the previous 5 years:

Name of company, employer, school or facility

Start Date

End Date

Occupation/Job Title

Type of Company e.g. (manufacturing, healthcare)

c-1) Work History of Spouse

Give full details of all work history inside and outside of your home country (including Canada if applicable)

Spouse Work History Details *

Please provide the following information for each job in the previous 5 years:

Name of company, employer, school or facility

Start Date

End Date

Occupation/Job Title

Type of Company e.g. (manufacturing, healthcare)

a) If invited to take part in our program, you may be required to come to Morden for an exploratory visit. Have you ever applied for a travel visa to Canada? *

Year

Purpose

Result

b) Has an immigration application ever been submitted for principal applicant or dependents for:

Morden’s Community Driven Immigration Initiative? *

Manitoba Provincial Nominee Program *

Any other Provincial Nominee Program? *

Federal or any other Canadian Immigration Program? *

For ALL previous applications above, please answer ALL of the following: 1) Who was the Principal Applicant? 2) When was the application submitted? 3) Has the application been denied? 4) Why was the application denied? 5) How has this situation changed? *

a) What specific services, characteristics, facilities, and other qualities are most important for you and/or your family to have in a city? *

c) Describe your experience with multiculturalism and with living/working in a diverse environment. *

Other Documents Upload (Application will not be reviewed unless it contains all REQUIRED attachments below) (copy) *

Click or drag files to this area to upload. You can upload up to 10 files.

Attachments required for this application

• C.V. or resume for all persons 18 years and over. (Required)
• Scanned copy of principal applicant’s IELTS results. (Required)
• Scanned copy of principal applicant’s passport. (Required)
• Scanned copy of Bank statement proving adequate settlement funds. (Required)
• Scan of the letter showing you have been accepted into the Federal Express Entry Pool. (If applicable)
• Educational Equivalency document. (ex. WES, IQAS for express entry applicants) (If applicable)

Authorization to Disclose *

I/We authorize the MCDII staff to enquire with the Provincial Nominee Program (MPNP) staff regarding my/our potential application to the MPNP. We hereby authorize the sharing of information between both parties for the purposes indicated above. We also consent to having our C.V. / resume and related information shared with select Morden Employers with the purpose of potential job possibilities.

I/We understand that:

This consent is given for the stated purposes and for no other purpose without my/our written consent.
This consent includes my/our dependents.
I/We may change or cancel this authorization at any time except for such action as has already been taken.

MCDII Support *

I/We understand that by applying for community support through MCDII, I/We have declared intent to live and work in Morden Manitoba on arrival to Canada.

Conflict of Interest *

I/We declare that we have not and will not provide money to friends, family, potential employers, or others for referrals, job offers, or any other real or perceived advantage toward immigration programs. The only exception to this is for payment to a IRCC licensed Canadian Immigration Consultant for process assistance if applicable.

Declaration *

I/We verify that the information provided in this application is correct and true to the best of my knowledge. I also acknowledge that any misrepresentation of information may result in my application being declined and I may not be able to participate in this initiative now or in the future.

Principal Applicant Name *

Date *

Signature *

Clear Signature

Spouse Name *

Date

Signature

Clear Signature