Date *

MM

DD

YYYY

Employee Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Start Date *

MM

DD

YYYY

Status *

Auxiliary

Full-Time

Part-Time

Temporary

Permanent

Union Status *

Union

Non-Union

Exempt

Management

Red-Circled *

Yes

No

Probation Period *

3 months

6 months

Trial Period

3 months

Benefits After Probation *

Yes

No

Waive Probation Period For Benefits *

Yes

No

Vacation

In accordance with Collective Agreement

Lieu

In Accordance with CA

Required To Be On Call *

Yes

No

Conditions of Employment *

Criminal Record Check

Driver's Licence

Foodsafe

First Aid