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Thank you for your interest in joining one of our committed Employer Partners committed to the workforce accessibility and inclusion. Please fill out the form below to the best of your ability and click on the 'Submit' button when you're done. Please attach your client's resume at the bottom of the form. 


An Inclusive Workforce Specialist will be in touch with your Candidate within 48 hours of your form submission. 

Mountain & Prairies Candidate Referral Form
Preferred method of communication
Is the Candidate eligible for CAN WiN services? To be eligible for CAN WiN services, the Candidate must self-identify as being a person with a disability and be legally entitled to work in Canada.
Has the candidate been convicted of a criminal offence for which a pardon has not been granted (only respond if need is identified in the job posting)
Do you have references available?
Candidate Contact Information Verified:
Shift Availability

Prior to the referral, the candidate should be coached on:

  • Communicating their career interests.

  • Describing their key strengths, relevant skills and work experience in relation to the position.

  • Presenting themself appropriately for the opportunity (cleanliness, attire, grooming, etc.).

  • Indicate whether they can work full or part time, has any location restrictions and schedule or shift preferences.

  • Identifying any adjustments or accommodations to bring out their best, if hired.

  • Growing their confidence and ensuring they have the support of family or others who may be involved in the decision-making process for securing employment with this employer.

Upload File

Thanks for submitting!

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