New Employee Form
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UNIVERSITY OF BRITISH COLUMBIA
DEPARTMENT OF MEDICAL GENETICS
NEW EMPLOYEE FORM
TO BE COMPLETED BY NEW EMPLOYEE:
(Please Print)
Last Name: ____________________________________________________________________
First Name: ________________________
Middle Name and /or Initials: __________________
Home Address: ________________________________________________________________
City: ______________________________________ Postal Code: _______________________
Home Telephone: _____________________ Date of Birth: ______________(dd/mm/yy) Male / Female
Social Insurance Number: _______________________
e-mail: _________________________
Please attach copy of SIN Card
(if it SIN starts with a “9”, please attach a copy of the work/study permit)
Have you worked for UBC before? Yes ____ No ____
If Yes, UBC Employee ID # ________________
for which department? ___________________________ date of termination: _______________
If student, UBC student no. ___________________ Undergraduate / Graduate
If non-UBC student, university name and student no. __________________________________________
Undergraduate / Graduate
Resume attached: _____ Will submit: ______
Has Campus Wide Login employee account? Yes/No
Payroll deposit form attached? Yes/No
(If No, have employee go to the below links)
https://
____________________________________________________________________________________
TO BE COMPLETED BY SUPERVISOR:
(Please Print)
Supervisor: _______________________________
Work Study Project # (if applicable) _____________
Start Date: ______________________________
Termination Date: ____________________________
Classification/Rank: ______________________________________ Co-op / Work Study (if applicable)
Have you checked references? Yes ___ How many?_____
No ___ Why not? ___________________________________________
Payroll Type: Monthly / Hourly
Full Time / Part Time
FTE (%): __________
Starting Salary: $____________ per hour/month. From P/G #_______________ Speedchart ________
$____________ per hour/month. From P/G #_______________ Speedchart ________
$____________ per hour/month. From P/G #_______________ Speedchart ________
New employee’s Work Address: __________________________________________________________
New employee’s Work Phone # ___________________New employees’ Work Fax # ________________
Please return this form to Medical Genetics, C201, BCCH – Fax 604-875-3490
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Parent category: Business