EM
PLOYEE INFORMATION FORM
HUMA
N RESOURCES
ACADEMIC ANNEX, RM 112
New Hire
Rehire/Extension
Change
SECTION 1 TO BE COMPLETED BY THE EMPLOYEE
Are you a FULL-TIME UofT student registered in a degree program?
Yes
No
If yes, what is your expected graduation date:
If you are currently a FULL-TIME UofT student registered in a degree program, and this status changes, please advise
your manager.
Yes *
No
*If you have a work or study permit, you must attach a copy to this form.
* If yes, please provide:
Passport #
Passport Expiry Date (dd/mm/yy)
Personnel # (blank if new)
Student #
SIN
Form of Address
Mr
Ms
Other (Specify)
Birthdate (dd/mm/yy)
Last Name
First Name
Permanent/Official Tax Address
Suite/Unit #
City
Prov.
Postal Code
Sessional Address
Suite/Unit #
City
Prov.
Postal Code
Phone/Cell #
Email
IMPORTANT: For employees working in multiple departments, please provide the information below.
Department 2
Supervisor #2 (Name)
Phone Number #2
Description of Work #2
Department 3
Supervisor #3 (Name)
Phone Number #3
Description of Work #3
Please Note: You will be paid via Direct Deposit. Please attach a void cheque or pre-authorized deposit slip.
I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS CORRECT.
Employee’s Signature
Date Signed
SECTIONS 2 3 BELOW TO BE COMPLETED BY MANAGER/SUPERVISOR
2. Financial Information
Hourly Rate
$
Anticipated Weekly Hours
Anticipated Monthly Hours
Fund Centre
Cost Centre
Fund
Order
3. Required Documents & Verification
TD 1
TD 1 ON
Work/Study Permit as applicable
Void Cheque/ Deposit Slip
Letter of Offer
Manager’s Name
Manager’s Signature
Date
CONFIDENTIAL
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signature
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signature
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