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Thank you for your interest in applying for a position with Allianz Global Assistance in Canada. To ensure this application represents all of your skills and applicable work experience we'd appreciate if you could complete this form as thoroughly as possible.

Your application will remain valid for 90 days. Following this timeframe if you still desire a position with Allianz Global Assistance, you will need to re-apply with us. If you do not re-apply, your application will not be considered for further employment opportunities and all documentation will be confidentially destroyed.

If you are successful we will be in contact with you within 30 days from when the position closes.

Today's date: *
Position applying for:
(please mark)
Position title *

Personal details:
First name: * Surname: *
Address: *
City: * Province: *
Postal code:
Home phone: * Cell Phone: *
Work phone: * Email address: *
May we contact you at work?: *

How did you hear about this vacancy and/or Allianz Global Assistance?
Source Please tick Please specify
Allianz Global Assistance website:
Job Bank:
Workopolis:
KW Record:
Allianz Global Assistance employee:
Other:

Have you ever been convicted of a criminal offence for which you have not received a pardon? *
Are you legally eligible to work in Canada? *
Are you more than 18 years of age? *
It is understood that any offer of employment is contingent upon successful completion of an Enhanced Reliability Check (Criminal Background Check) with the Government of Canada.
Is there any further information (regarding change of name, use of an assumed name or nickname) that would enable more accurate verification of details of work records?
If yes, please provide details:
Do you have a relative working at Allianz Global Assistance in Canada? *
If yes, please provide details:

Circumstances:
Are you able to start immediately? *
If not, what day would you be available to begin work?
Have you ever worked for World Access, Mondial Assistance, Allianz Global Assistance, or Allianz Insurance? *
If yes, please provide location, position title, dates of employment:
Salary expectations:

Qualifications:
Are you fluent in any language(s) besides English? *
If yes, what languages?
I acknowledge that during the course of the hiring process Allianz Global Assistance may have to disclose information obtained on this form to third parties. I give consent to Allianz Global Assistance to disclose all necessary information, including personal information, to third parties in order to determine my qualifications for employment.
I agree that any untrue statement or answer or any omission of possibly relevant information may render the application void and will constitute just cause for discharge without notice or severance should employment be granted.
Answer only if applying to position in Contact Centre:
I acknowledge the call centre operates 24 hours a day, 7 days a week. I understand that by selecting yes to this question, I am indicating my availability to work days evenings, nights, weekends and statutory holidays as required by business needs.

Attach your resume: *


Attach your cover letter: *