Research Personnel Employment Record Form
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2RESEARCH PERSONNEL Trent University
EMPLOYMENT RECORD FORM‐ Part I Office of Research
Personal Information to be completed by applicant
Surname:
First Name & Middle Initials:
Permanent Address:
City:
Province:
Postal Code:
Email:
Telephone No:
PhD:
Are you a student? Yes No If yes, Full‐Time: Part Time: Undergraduate: Masters:
Trent Student :No: Current Year of Enrolment: Year of a Year Program
Anticipated Graduation Date: ___________________________ Program of Study _______________________________________
If no, indicate Postdoctoral Fellow Non university affiliation
Bank Information (if not already on file)
A cheque marked VOID or complete direct deposit information provided by your bank must be attached.
Social Insurance Number
TD1 Income Tax Forms:
Federal: Attached Currently on File
Provincial: Attached Currently on File
I certify that my status is:
Department to which statements of
earnings will be sent:
Canadian Citizen
Landed Immigrant Status
Other Please Specify: _____________________
Please attach copy of study/work permit.
Employment Information:
Bi‐Weekly
Start Date:
End Date:
Account(s) to be Charged:
Rate of Pay per Hour:
$____________ Estimate # hours per week_________
(Vacation Pay at 4% is added to each bi‐weekly pay)
NB: Every pay generates an employer paid expense
OR
Monthly
Start Date:
End Date:
Account(s) to be Charged:
Monthly Salary:
Vacation:
$___________ Hours per week____________
+ 4% each month________
OR
(Salary will be pro‐rated accordingly depending on start &
Time in lieu ___________
End dates)
Authorization
Student/Employee Signature:
Date:
Supervisor’s Name:
Date:
Supervisor’s Signature:
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