DEPARTMENT OF PLANT SCIENCE, STUDENT EMPLOYMENT APPLICATION

Complete and print form. Drop off or mail to Department of Plant Science, 222 Agriculture Building

Date of Application:

Name:
Last name, First Name(s)

Present Address:

Postal Code: Telephone No:

Home Address (if different from above):

Faculty: Option:

Are you a full-time student? Year in Program:
U. of M. Student No: *See Below

Name of Institution (if other than U of M

**Grade Point or High School Average of 1st Year

Driver's Licence: Yes No

Valid Manitoba: Regular GDL - stage

Area(s) of Interest (Please x)

Plant Breeding Agronomy Forage Crop Mngmt. Plant Pathology

Weed Control Physiology Horticulture Biochemistry No Preference

Previous farm experience:
Yes No

We have a research station in Carman, MB . Would you prefer to be based out of
Carman Or Winnipeg No preference

Previous Employment

Dates
Place of Employment

* Applications from part-time students for summer positions will not be accepted. Acceptance for employment
by the Department of Plant Science is provisional upon subsequent confirmation from Employee Relations of your student status.

**Students who have a G.P.A. below 2.0 will be paid at the high school rate.

This personal information is being collected under the authority of A The University of Manitoba Act. @ It will be
used to assess the applicant = s eligibility and suitability for employment with the University and for
communication with the applicant. This personal information is protected by the Protection of Privacy provisions
of A The Freedom of Information and Protection of Privacy Act @ (FIPPA).