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• Full name✱
• Email✱
• Phone
• Current location ✱
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• Current company

Links

• LinkedIn URL
• Twitter URL
• GitHub URL
• Portfolio URL
• Other website

Application Qs

• Where did you see the role advertised?✱

  • Indeed
  • LinkedIn
  • AngelList
  • Zensurance.com
  • Internet search
  • Referral
  • Other
• Have you previously applied for a position with Zensurance?✱

  • Yes
  • No
• Are you legally authorized to work in Canada?✱

  • Yes
  • No
• What are your pronouns? (optional)

  • She/Her/Hers
  • They/Them/Their
  • He/Him/His
  • She/They
  • He/They
  • Let me type...

Brokers: Licensing

• Do you hold a valid broker license in your province?

  • Yes
  • No

Diversity insights for Zensurance

Diversity, equity and inclusion (DEI) is a crucial and permanent part of our business strategy. To help us ensure a fully diverse, equitable and inclusive working environment, we invite you to fill out this voluntary survey so we can track and further our DEI efforts. Submission of the information on this form is strictly voluntary, and the decision not to provide it will not subject you to any adverse treatment or affect your job application. Information obtained will be kept separate from your name or job application. This information will be kept secure and confidential.

• Gender identity
  • Woman
  • Man
  • Non-binary
  • Two-spirit
  • Other
  • Prefer not to disclose
• Sexual orientation
  • Bisexual
  • Gay
  • Straight
  • Lesbian
  • Queer
  • Other
  • Prefer not to disclose
• Ethnic Background (Please select the one that BEST describes you)
  • Indigenous (Inuit/First Nations/Métis)
  • White/European
  • Black/African/Caribbean
  • East Asian (Chinese, Japanese, Mongolian, Korean, and Taiwanese, etc.)
  • Southeast Asian (Vietnamese, Cambodian, Filipino, Thai, Malaysian, etc.)
  • South Asian (Afghan, Indian, Pakistani, Sinhalese, etc.)
  • Latin American (Costa Rican, Guatemalan, Brazilian, Colombian, etc.)
  • Western Asian (Turkish, Israeli, Iraqi, Syrian, Palestinian, Saudi Arabian, etc.)
  • Mixed
  • Other
  • Prefer not to disclose
• Age
  • 19 or under
  • 20 - 30
  • 31 - 40
  • 41 - 50
  • 51 - 60
  • 60 and above
  • Prefer not to disclose
• Do you identify as a person with a disability or are you a person with accessibility needs?
  • Yes
  • No
  • Prefer not to disclose