We are here to help you in your new life here in Manitoba.

Please fill out the below form.

If you have indicated for a follow up appointment, a facilitator will contact you.

Should you have any questions, please go to the contact us page.

Intake form


Contact + Address Information

Do you consent to receiving emails from WIS *
Preferred Contact Method *
Preferred Contact Time

Family Information

Marital Status *
Is your family with you in Manitoba?
Do you have Children

Immigration Information

Immigration Status *

Enter your UCI number without spaces or dashes. You can find your UCI number on your immigration documents (work or study permit, PR card, and COPR).
NOTE: If you are a Canadian-born citizen, please enter the digit zero (0) below.

If you are not a PR, do you intend to become a Permanent Resident?

Employment + Education Information

Are you currently employed? *
Would you like help getting a job?
Are you permitted to work in Canada?

More Information + Needs

Do you have: *
Please select all options that you would like to know about *

Follow Up

Would you like a follow up appointment

If you have selected yes, a settlement facilitator will contact you to arrange a time.

Under the Personal Information Protection and Electronic Documents Act (PIPEDA), the Government of Canada requires  Westman Immigrant Services to explain how we use your personal information. This act has been designed to protect you. We must also have your permission to use this information. By selecting Understood, you confirm that you read and understood this information.

Your personal information will be entered into our electronic data base and may be used, by any or all the services at Westman Immigrant Services. Some of your information may be included in statistical information given to funders. You will not be identified by name. This information may also be used by  Westman Immigrant Services to contact you in the future. By selecting Understood below, you confirm that you have read the above, and understand which information is being collected and what it is being used for.

DISCLAIMER: Westman Immigrant Services are funded to provide information to ensure newcomers have ongoing, clear and up to date information. Westman Immigrant Services offers general information which should not be viewed as legal advice or opinion. It is an individual’s own decision how to proceed with the information provided. By entering your name below, you confirm that you read and understood this disclaimer by Westman Immigrant Services.