Individual Employment Contract Request

Start Date

MM

DD

YYYY

Source

(use comments at bottom of form to explain current contract terms/dates if this is an internal appointment).

Position Title

Reporting Manager

Type of Contract

Permanent

Fixed Term

Casual

Contractor

Date fixed term ends and reason (if applicable)

Salary

$

FT / PT Status

Full Time

Part Time

Contracted Hours & Schedule

Name

First Name

Last Name

Address

Any other info needed