New Hire/Rehire Form

This form along with required documents must be submitted on or

before first day of work.

Employee information - MUST BE COMPLETED IN FULL (PUT N/A IF DOES NOT APPLY TO YOU)
Date of Birth *
Last Name * First * (YY/MM/DD)
Appartment /
Street Address * Unit #

City * Prov. * Postal Code *

Phone * E-mail Address *

SIN * SIN beginning with a “9” provide expiry date (YY/MM/DD):

If SIN starts with “9”
Open Work Permit ✓ Study Permit (allowed to work) Post Grad Work Permit
Type of Work Permit
Select one here Closed Work Permit to BeaverTails Other If other, explain:

Days Available
For store employees - as discussed upon hiring Sun ✓ Mon ✓ Tue ✓ Wed ✓ Thu ✓ Fri ✓ Sat

Banking information - MUST PROVIDE BANK ISSUED BACK UP - VOID CHEQUE OR DIRECT DEPOSIT FORM
Name of Bank *

Bank Number * Transit Number * Account Number *

Emergency Contacts - REQUIRED

Contact 1 * - Full Name Phone Relationship

Contact 2 * - Full Name Phone Relationship

Employee Checklist - THE FOLLOWING MUST BE PROVIDED ALONG WITH THIS FORM
Must provide:
✓ Bank back up - void cheque or direct deposit form ✓ Copy of government issued photo ID + SIN

If applicable, must provide:

✓ If your SIN starts with a “9” - provide a copy of Valid Work Permit

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. I understand that intentionally falsifying
information could result in refusal of employment or discharge.

Employee Signature * Date *

For Management Use Only - MANAGERS TO FILL OUT THIS PART ON OR BEFORE FIRST DAY
EMPLOYEE WORKS + E-MAIL PAYROLL

New hire OR Rehire Full-Time OR Part Time Date form Submitted *

Corporate Store Number * Position * Salary/Hourly Rate *

Start Date (ACTUAL Hiring Manager Name /
first day of work)* Signature *:

New hire package Learn BT Policies and Procedures Employee Handbook

completed? Uniform Agreement