REQUEST FOR A RESEARCH OR POST-DOC APPOINTMENT
APPOINTEE INFORMATION
NAME:
ADDRESS:
E-MAIL:
SUPERVISOR DETAILS
SALUTATION: EMPLOYEE #: _
CITIZENSHIP:
Is the appointee eligible to work in Canada? Yes No
Does this individual require a Work Permit/Visa? Yes No
SUP
ERVISOR:
APPOINTMENT DETAILS
DEPARTMENT: _ EXT:
_
TYPE: New Re-appointment Supersedes Letter Required
TITLE:
Research Assistant Research Associate Post-Doc Visiting Scholar
Other:
_ This form can not be used to appoint Visiting Professors or Instructors, Registered Students, clerical
or administrative personnel, or anyone who will be paid using an operating or trust account. If this appointment is for a Post-Doc, a copy of the incumbent’s PhD credentials
must be appended to this form.
HOURS: Part-Time: 10 15 20 24 Other: Full-Time: 30 35 37.5 40 Other:
DURATION: Start Date:
Appointment duration must not exceed 12 months.
COMPENSATION
End Date: _ Total # of weeks:
SALARY: Hourly $_ _ Monthly $_ _
Will this appointee be paid using time cards? Yes No
Annually $
Stipend $
N/A
Whenever possible, Research and Post-Doc appointees should be paid through a stipend. Hourly rates must be calculated on this form to show a stipend for the duration of
the appointment. To calculate the stipend, multiply the hourly rate by the total number of hours that will be worked through the duration of the appointment and enter the
amount in the stipend field above. Hourly rates must not be lower than the Ontario Minimum Wage rate of $14.00 per hour ($14.56 per hour including vacation pay). Payroll
will automatically deduct an additional 10% of the stipend amount indicated above from your grant account to cover mandatory costs such as CPP, EI, etc. Do not include
this 10% in the stipend field above. If you have indicated that the appointee will be paid using time cards, you will be required to submit time cards twice monthly in
accordance with Payroll deadlines.
VACATION: N/A 1 Week 2 Weeks 3 Weeks Other:
The vacation entitlement for a 1 year appointment is 2 weeks. For appointments less than 1 year, select N/A and 4% will automatically be included in your stipend.
BENEFITS
OPTIONAL GREEN SHIELD HEALTH BENEFITS/COVERAGE UHIP COVERAGE FOR NON ONTARIO RESIDENTS
Description:
Single
Family
Drug Cost
$44.92
$112.22
Semi-Private
$ 4.28
$ 8.60
Extend Health
$39.34
$111.63
Out of Prov.
$ 4.54
$ 9.07
Dental
$66.00
$152.55
Vision
$14.62
$ 38.04
Monthly Total
$173.70
$432.11
PAID BY: Incumbent or
Full coverage (vision; dental; extended
health; prescription drugs; and, out of
province) can only be offered for full-time,
full year appointments. Approximate annual
cost of family ($5,340) or single ($2,156) is
subject to change each year on May 1. To
calculate the annual cost of benefits, add
individual monthly coverage amounts and
multiply by 12 months.
University Health Insurance Plan (UHIP) is temporary health coverage
(equivalent to the Ontario Health Insurance Plan) for anyone who is employed at
the University on a work permit. If the full-time appointment is for 6 months or
more, UHIP is only required for the 3 month waiting period. Coverage costs are
listed below.
1 Mo
3 Mo
6 Mo
9 Mo
1 Year
Single
$ 60.80
$182.41
$364.82
$ 547.24
$ 729.65
Couple
$111.76
$335.28
$670.55
$1,005.83
$1,341.10
Family
$137.59
$412.78
$825.55
$1,238.33
$1,651.10
PAID BY: Incumbent or
Grant No. _ _
REQUIRED SUPPORTING DOCUMENTATION
Grant No. _ _
Confidentiality Agreement Position Summary CV / Resume
All Requests for Appointments must be accompanied by a signed Confidentiality Agreement, a completed/updated Position Summary, and a copy of the incumbent’s CV.
Conflict of Interest If the incumbent is a relative, a Conflict of Interest form must be completed and submitted with this request.
Work Permit/VISA If the incumbent has been issued a visa or work permit, a copy must be attached to this form.
AUTHORIZATION FOR APPOINTMENT
DEAN:
Printed Name Signature Date
AAU HEAD:
Printed Name Signature Date
GRANT HOLDER:
Printed Name Signature Date
SUPERVISOR:
Printed Name Signature Date
GRANT DISTRIBUTION
GRANT ACCOUNT NO. PERIOD (From MM/DD/YY to MM/DD/YY) STIPEND AMOUNT
RESEARCH FINANCE APPROVAL
Printed Name Signature Date
Forward signed form to Research Finance for approval. If no stipend will be issued, send this form directly to the Office of the Vice-President, Research and Innovation.
OVPRI July 2020
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