Employer Registration and/or Contact Update Form

We are working to ensure that contact information in our database is current and updated. Please complete this form if you'd like to:

be added to our employer database
update existing contact information
apply to become a Co-op Employer

Submissions are strictly confidential and will only be used for administrative purposes.

Question Title

* 1. Let's start with you - tell us about yourself!

First Name

Last Name

Your role/position in the company/organization

Work email address

Work phone number

Question Title

* 2. Company/Organization Contact Information

Name of the company/organization

Physical work location and/or address

Office, room, and/or unit number

City/Town

State/Province

ZIP/Postal Code

Country

Question Title

* 3. Which of the following can we contact you for?

Co-op student recruitment and hiring

Career fair opportunities

Exclusive employer events (i.e. information sessions, recruitment, outreach, etc.)

Experiential learning opportunities (i.e. employment, volunteering, student leadership programs, etc.)

Scholarships, bursaries, and grants for students in the faculty

Other (please specify)

Question Title

* 4. Have you/your company/organization hired a co-op student before?

Yes, we've hired co-op students from the Faculty of Agricultural and Food Science in the past.

Yes, we've hired co-op students from different faculties and/or institutions.

Yes, all of the above.

No, we have not hired co-op students in the past.

That's about everything!

For questions, comments, and/or concerns, don't hesitate to send us an email at agcoop@umanitoba.ca.

Click Done to submit the form.