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HUMAN RESOURCES
ACADEMIC ANNEX, RM 112
New Hire Rehire/Extension Change
If you are currently a FULL-TIME UofT student registered in a degree program, and this status changes, please advise
your manager.
Work/Study Permit: Yes * No *If you have a work or study permit, you must attach a copy to this form.
* If yes, please provide: Passport # Passport Expiry Date (dd/mm/yy)
IMPORTANT: For employees working in multiple departments, please provide the information below.
Department 2 Supervisor #2 (Name)
Please Note: You will be paid via Direct Deposit. Please attach a void cheque or pre-authorized deposit slip.
I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS CORRECT.