Protected B when completed

TD12018 Personal Tax Credits Return

Read page 2 before filling out this form. Your employer or payer will use this form to determine the amount of your tax deductions.

Fill out this form based on the best estimate of your circumstances.

Last name First name and initial(s) Date of birth (YYYY/MM/DD) Employee number

Address Postal code For non-residents only –Country of permanent residence

Social insurance number

1. Basic personal amount – Every resident of Canada can claim this amount. If you will have more than one employer or payer at the same time in 2018, see "More than one employer or payer at the same time" on page 2. If you are a non-resident, see "Non-residents" on page 2.

2. Canada caregiver amount for infirm children under age 18 – Either parent (but not both), may claim $2,182 for each infirm child born in 2001 or later, that resides with both parents throughout the year. If the child does not reside with both parents throughout the year, the parent who is entitled to claim the “Amount for an eligible dependant” on line 8 may also claim the Canada caregiver amount for that same child who is under age 18.

3. Age amount – If you will be 65 or older on December 31, 2018, and your net income for the year from all sources will be $36,976or less, enter $7,333. If your net income for the year will be between $36,976 and $85,863 and you want to calculate a partial claim, get Form TD1-WS, Worksheet for the 2018 Personal Tax Credits Return, and fill in the appropriate section.

4. Pension income amount – If you will receive regular pension payments from a pension plan or fund (excluding Canada Pension Plan, Quebec Pension Plan, Old Age Security, or Guaranteed Income Supplement payments), enter $2,000 or your estimatedannual pension income, whichever is less.

5. Tuition (full time and part time) – If you are a student enrolled at a university or college, or an educational institution certified by Employment and Social Development Canada, and you will pay more than $100 per institution in tuition fees, fill in this section. If you are enrolled full time or part time, enter the total of the tuition fees you will pay.

6. Disability amount – If you will claim the disability amount on your income tax return by using Form T2201, Disability Tax Credit Certificate, enter $8,235.

7. Spouse or common-law partner amount – If you are supporting your spouse or common-law partner who lives with you and whose net income for the year will be less than $11,809 ($13,991 if he or she is infirm), enter the difference between this amountand his or her estimated net income for the year. If his or her net income for the year will be $11,809 or more ($13,991 or more if he or she is infirm), you cannot claim this amount. In all cases, if his or her net income for the year will be $23,391 or less and he or she is infirm, go to line 9.

8. Amount for an eligible dependant – If you do not have a spouse or common-law partner and you support a dependent relative who lives with you and whose net income for the year will be less than $11,809 ($13,991 if he or she is infirm and you cannot claim the Canada caregiver amount for children under age 18 for this dependant), enter the difference between this amount and his or her estimated net income. If his or her net income for the year will be $11,809 or more ($13,991 or more if he or she is infirm), you cannot claim this amount. In all cases, if his or her net income for the year will be $23,391 or less and he or she is infirm and is age 18 or older, go to line 9.

9. Canada caregiver amount for eligible dependant or spouse or common-law partner – If, at any time in the year, you support an infirm eligible dependant (aged 18 or older) or an infirm spouse or common-law partner whose net income for the year will be $23,391 or less, get Form TD1-WS and fill in the appropriate section.

10. Canada caregiver amount for dependant(s) age 18 or older – If, at any time in the year, you support an infirm dependant age 18 or older (other than the spouse or common-law partner or eligible dependant you claimed an amount for on line 9, or could have claimed an amount for if his or her net income were under $13,991) whose net income for the year will be $16,405 or less, enter $6,986. If his or her net income for the year will be between $16,405 and $23,391 and you want to calculate a partial claim, get Form TD1-WS and fill in the appropriate section. You can claim this amount for more than one infirm dependant age 18 or older. If you are sharing this amount with another caregiver who supports the same dependant, get the Form TD1-WS and fill in the appropriate section.

11. Amounts transferred from your spouse or common-law partner – If your spouse or common-law partner will not use all ofhis or her age amount, pension income amount, tuition amount, or disability amount on his or her income tax return, enter the unused amount.

12. Amounts transferred from a dependant – If your dependant will not use all of his or her disability amount on his or herincome tax return, enter the unused amount. If your or your spouse's or common-law partner's dependent child or grandchild will not use all of his or her tuition amount on his or her income tax return, enter the unused amount.

13. TOTAL CLAIM AMOUNT – Add lines 1 to 12.Your employer or payer will use this amount to determine the amount of your tax deductions.

TD1 E (18) (Ce formulaire est disponible en français.) Page 1 of 2

11,809

Protected B when completed

Filling out Form TD1 Fill out this form only if:

• you have a new employer or payer and you will receive salary, wages, commissions, pensions, employment insurance benefits, or any other remuneration;

• you want to change amounts you previously claimed (for example, the number of your eligible dependants has changed);

• you want to claim the deduction for living in a prescribed zone; or• you want to increase the amount of tax deducted at source.

Sign and date it, and give it to your employer or payer.

If you do not fill out Form TD1, your employer or payer will deduct taxes after allowing the basic personal amount only.

More than one employer or payer at the same timeIf you have more than one employer or payer at the same time and you have already claimed personal tax credit amounts on another Form TD1 for 2018, you cannot claim them again. If your total income from all sources will be more than the personal tax credits you claimed on another Form TD1, check this box, enter "0" on line 13 and do not fill in lines 2 to 12.

Total income less than total claim amount

Check this box if your total income for the year from all employers and payers will be less than your total claim amount on line 13. Your employer or payer will not deduct tax from your earnings.

Non-residents (Only fill in if you are a non-resident of Canada.)

As a non-resident of Canada, will 90% or more of your world income be included in determining your taxable income earned in Canada in 2018?

Yes (Fill out the previous page.)

No (Enter "0" on line 13, and do not fill in lines 2 to 12 as you are not entitled to the personal tax credits.)

If you are unsure of your residency status, call the international tax and non-resident enquiries line at 1-800-959-8281.

Provincial or territorial personal tax credits returnIf your claim amount on line 13 is more than $11,809, you also have to fill out a provincial or territorial TD1 form. If you are an employee, use the Form TD1 for your province or territory of employment. If you are a pensioner, use the Form TD1 for your province or territory of residence. Your employer or payer will use both this federal form and your most recent provincial or territorial Form TD1 to determine the amount of your tax deductions.

If you are claiming the basic personal amount only (your claim amount on line 13 is $11,809), your employer or payer will deduct provincial or territorial taxes after allowing the provincial or territorial basic personal amount.

Note: If you are a Saskatchewan resident supporting children under 18 at any time during 2018, you may be able to claim the child amount on Form TD1SK, 2018 Saskatchewan Personal Tax Credits Return. Therefore, you may want to fill out Form TD1SK even if you are only claiming the basic personal amount on this form.

Deduction for living in a prescribed zoneIf you live in the Northwest Territories, Nunavut, Yukon, or another prescribed northern zone for more than six months in a row beginning or ending in 2018, you can claim:

• $11.00 for each day that you live in the prescribed northern zone; or

• $22.00 for each day that you live in the prescribed northern zone if, during that time, you live in a dwelling that you maintain, and you are the only person living in that dwelling who is claiming this deduction.

$Employees living in a prescribed intermediate zone can claim 50% of the total of the above amounts.For more information, go to canada.ca/taxes-northern-residents.

Additional tax to be deductedYou may want to have more tax deducted from each payment, especially if you receive other income, including non-employment income such as CPP or QPP benefits, or old age security pension. By doing this, you may not have to pay as much tax when you file your income tax return. To choose this option, state the amount of additional tax you want to have deducted from each payment. To change this deduction later, fill out a new Form TD1.

$

Reduction in tax deductionsYou can ask to have less tax deducted on your income tax return if you are eligible for deductions or non-refundable tax credits that are not listed on this form (for example, periodic contributions to a registered retirement savings plan (RRSP), child care or employment expenses, charitable donations, and tuition and education amounts carried forward from the previous year). To make this request, fill out Form T1213, Request to Reduce Tax Deductions at Source, to get a letter of authority from your tax services office. Give the letter of authority to your employer or payer. You do not need a letter of authority if your employer deducts RRSP contributions from your salary.

Personal information is collected under the Income Tax Act to administer tax, benefits, and related programs. It may also be used for any purpose related to the administration or enforcement of the Act such as audit, compliance and the payment of debts owed to the Crown. It may be shared or verified with other federal, provincial/territorial government institutions to the extent authorized by law. Failure to provide this information may result in interest payable, penalties or other actions. Under the Privacy Act, individuals have the right to access their personal information and request correction if there are errors or omissions. Refer to Info Source at canada.ca/arc-info-source, Personal Information Bank CRAPPU 120.

Certification

I certify that the information given on this form is correct and complete.

SignatureIt is a serious offence to make a false return.

DateYYYY/MM/DD

Page 2 of 2

Protected B when completed

TD1AB2018 Alberta

Personal Tax Credits Return

Read page 2 before filling out this form. Your employer or payer will use this form to determine the amount of your provincial tax deductions.

Fill out this form based on the best estimate of your circumstances.

Last name First name and initial(s) Date of birth (YYYY/MM/DD) Employee number

Address Postal code For non-residents only –Country of permanent residence

Social insurance number

1. Basic personal amount – Every person employed in Alberta and every pensioner residing in Alberta can claim this amount. If you will have more than one employer or payer at the same time in 2018, see "More than one employer or payer at the same time" on page 2.

2. Age amount – If you will be 65 or older on December 31, 2018, and your net income from all sources will be $39,238 or less, enter $5,271. If your net income for the year will be between $39,238 and $74,378 and you want to calculate a partial claim, get Form TD1AB-WS, Worksheet for the 2018 Alberta Personal Tax Credits Return, and fill in the appropriate section.

3. Pension income amount – If you will receive regular pension payments from a pension plan or fund (excluding Canada Pension Plan, Quebec Pension Plan, Old Age Security, or Guaranteed Income Supplement payments), enter $1,456, or your estimated annual pension income, whichever is less.

4. Tuition and education amounts (full time and part time) – If you are a student enrolled at a university, college, or educational institution certified by Employment and Social Development Canada, and you will pay more than $100 per institution in tuition fees, fill in this section. If you are enrolled full time, or if you have a mental or physical disability and are enrolled part time, enter the total of the tuition fees you will pay, plus $735 for each month that you will be enrolled. If you are enrolled part time and do not have a mental or physical disability, enter the total of the tuition fees you will pay, plus $221 for each month that you will be enrolled part time.

5. Disability amount – If you will claim the disability amount on your income tax return by using Form T2201, Disability Tax Credit Certificate, enter $14,590.

6. Spouse or common-law partner amount – If you are supporting your spouse or common-law partner who lives with you and whose net income for the year will be less than $18,915, enter the difference between $18,915 and his or her estimated net income. If his or her net income for the year will be $18,915 or more, you cannot claim this amount.

••

7. Amount for an eligible dependant – If you do not have a spouse or common-law partner and you support a dependent relative who lives with you and whose net income for the year will be less than $18,915, enter the difference between $18,915 and his or her estimated net income. If his or her net income for the year will be $18,915 or more, you cannot claim this amount.

8. Caregiver amount – If you are taking care of a dependant who lives with you, whose net income for the year will be $17,409 or less, and who is either your or your spouse's or common-law partner's:

If the dependant's net income for the year will be between $17,409 and $28,358 and you want to calculate a partial claim, get Form TD1AB-WS and fill in the appropriate section.

relative (aged 18 or older) who is dependent on you because of an infirmity, enter $10,949. parent or grandparent (aged 65 or older); or

9. Amount for infirm dependants age 18 or older – If you are supporting an infirm dependant aged 18 or older who is your or your spouse's or common-law partner's relative, who lives in Canada, and whose net income for the year will be $7,233 or less, enter $10,949. You cannot claim an amount for a dependant you claimed on line 8. If the dependant's net income for the year will be between $7,233 and $18,182 and you want to calculate a partial claim, get Form TD1AB-WS and fill in the appropriate section.

10. Amounts transferred from your spouse or common-law partner – If your spouse or common-law partner will not use all ofhis or her age amount, pension income amount, tuition and education amounts, or disability amount on his or her income tax return, enter the unused amount.

11. Amounts transferred from a dependant – If your dependant will not use all of his or her disability amount on his or her income tax return, enter the unused amount. If your or your spouse's or common-law partner's dependent child or grandchild will not use all of his or her tuition and education amounts on his or her income tax return, enter the unused amount.

12. TOTAL CLAIM AMOUNT – Add lines 1 to 11. Your employer or payer will use your claim amount to determine the amount of your provincial tax deductions.

TD1AB E (18) (Ce formulaire est disponible en français.) Page 1 of 2

18,915

Protected B when completed

Filling out Form TD1AB

Fill out this form only if you are an employee working in Alberta or a pensioner residing in Alberta and any of the following apply:

• you have a new employer or payer and you will receive salary, wages, commissions, pensions, employment insurance benefits, or any other remuneration;

• you want to change amounts you previously claimed (for example, the number of your eligible dependants has changed); or• you want to increase the amount of tax deducted at source.

Sign and date it, and give it to your employer or payer.

If you do not fill out Form TD1AB, your employer or payer will deduct taxes after allowing the basic personal amount only.

More than one employer or payer at the same timeIf you have more than one employer or payer at the same time and you have already claimed personal tax credit amounts on another Form TD1AB for 2018, you cannot claim them again. If your total income from all sources will be more than the personal tax credits you claimed on another Form TD1AB, check this box, enter "0" on line 12 and do not fill in lines 2 to 11.

Total income less than total claim amountCheck this box if your total income for the year from all employers and payers will be less than your total claim amount on line 12. Your employer or payer will not deduct tax from your earnings.

Additional tax to be deducted If you wish to have more tax deducted, fill in "Additional tax to be deducted" on the federal Form TD1.

Reduction in tax deductions

You can ask to have less tax deducted on your income tax return if you are eligible for deductions or non-refundable tax credits that are not listed on this form (for example, periodic contributions to a registered retirement savings plan (RRSP), child care or employment expenses, charitable donations, and tuition and education amounts carried forward from the previous year). To make this request, fill out Form T1213, Request to Reduce Tax Deductions at Source, to get a letter of authority from your tax services office. Give the letter of authority to your employer or payer. You do not need a letter of authority if your employer deducts RRSP contributions from your salary.

Forms and publicationsTo get our forms and publications, go to canada.ca/cra-forms-publications or call 1-800-959-5525.

Personal information is collected under the Income Tax Act to administer tax, benefits, and related programs. It may also be used for any purpose related to the administration or enforcement of the Act such as audit, compliance and the payment of debts owed to the Crown. It may be shared or verified with other federal, provincial/territorial government institutions to the extent authorized by law. Failure to provide this information may result in interest payable, penalties or other actions. Under the Privacy Act, individuals have the right to access their personal information and request correction if there are errors or omissions. Refer to Info Source at canada.ca/cra-info-source, Personal Information Bank CRA PPU 120.

CertificationI certify that the information given on this form is correct and complete.

SignatureIt is a serious offence to make a false return.

Date

Page 2 of 2

Thank you for your interest in applying to Buffalo Trail Public Schools to be on the substitute teacher list. You must submit your completed application to our office. When it is approved, we will submit your name to the schools you have selected. You will be contacted at your email address when approval has been given. RESUME AND REFERENCES A package will not be considered until all pieces required have been submitted. This includes a current resume with three current professional references complete with contact information including email addresses (letters may be included). Please note that the Criminal Record Check cannot be more than six months old. Included in this package, we have listed the required documents. SUB BOOKING Each school is responsible to call the individual sub. In some cases, teachers book their own subs and in some cases, secretaries or principals are in charge of the process. The school office staff is also responsible for ensuring the substitute teacher timesheets are completed correctly, signed by the appropriate people and submitted to central office for payment. PAYROLL PROCESS Each month, you will need to complete a BTPS substitute teacher timesheet at each school you sub at. The school staff will forward the forms to central office for payment at month end. The direct deposit will be done on the 10th of the following month. The rate for subbing can be found in Article 8 of the ATA Collective Agreement on our website. We will upload your pay information to our Employee Self Service Web Based Program. Paper copies will no longer be mailed unless you are unable to access your data electronically. If you have provided an email address on your application, you will be accessing the information electronically. In February, your T4 will be uploaded to the same site. It is extremely important that you notify payroll in writing if your name, phone number, address, or banking information etc. changes. Our preferred method of communication is via email to hrteachers@btps.ca If you accept a teaching position with another Board or for whatever reason will be unavailable to sub, you must notify us so that we can have you removed from the school listings and issue your ROE.

Articles from the ATA Collective Agreement pertaining to substitute teachers are Articles 6 and 8; the collective agreement can be viewed at: http://www.btps.ca/files/PDF/Human Resources/ATA colagr.pdf

BTPS TEACHER HUMAN RESOURCES TEAM

Mr. Brad Romanchuk Assistant Superintendent

Human Resources

Ms. Pam Peterson Teacher Payroll and Benefits Administrator

Ms. Stacy Joy

Executive Assistant

Email: hrteachers@btps.ca Please note that the hrteachers@btps.ca email is the preferred method of communication as all members of our human resources team will receive it and you will receive a timely response. YOU WILL BE NOTIFIED VIA EMAIL WHEN YOUR APPLICATION HAS BEEN APPROVED. NOTE: THE COMPLETE ATA COLLECTIVE AGREEMENT CAN BE VIEWED AT www.btps.ca DEPARTMENTS > HUMAN RESOURCES

REQUIRED DOCUMENTS

1. Cover letter addressed to Mr. Brad Romanchuk, Assistant Superintendent,

Human Resources, requesting authorization to substitute teach in our division.

2. Current resume which includes a chronological listing of previous teaching

experience (grade/subject) and IFX and AFX placements.

3. Three professional references with current contact information including email

addresses listed in the resume (letters may be included). If you just completed

your IFX or AFX placement in a BTPS, we will accept a letter from the principal

and /or co-operating teacher instead of the professional references.

4. Signed and witnessed Conditions of Employment document (the witness cannot

be a spouse or relative).

5. New Employee Form with a VOID personal cheque attached.

6. A copy of your Alberta Teaching Certificate.

7. Original Criminal Records Check (the original will be returned to you at your

request).

8. Original TQS statement (the original will be returned to you at your request). If

you have applied for your TQS and it hasn’t been issued, you will have received a

letter. Please include a copy of the letter. You may be approved to sub without

a TQS Statement but it may impact payment at grid.

9. Statements of Years of Experience from previous employing boards.

10. Canada Revenue Agency Personal Tax Credit Return and Alberta Personal Tax

Credit Return.

Documents must be completely filled in. For example, you will be asked for your SIN on

the employee form and you must also fill it in on both income tax forms.

NOTE: THE COMPLETE ATA COLLECTIVE AGREEMENT CAN BE VIEWED AT www.btps.ca

DEPARTMENTS>HUMAN RESOURCES

BUFFALO TRAIL PUBLIC SCHOOLS REGIONAL DIVISION No. 28 1041 – 10A Street

Wainwright, AB T9W 2R4 T: 780.842.6144 F: 780.842.3255

Email: hrteachers@btps.ca www.btps.ca

NEW EMPLOYEE FORM FOR TEACHERS AND SUBSTITUTE TEACHERS

Position SCHOOL/SITE

Surname First Middle

Have you been employed by Buffalo Trail Public Schools in the past? Yes No

If yes, please enter the surname you used in the space to the right.

Birth Date Start Date:

yyyy/mm/dd yyyy/mm/dd

Sex M F Married Yes No Social Insurance Number

Citizenship Canadian Landed Immigrant

Other If other please specify

Telephone: Cell Email

Address

Mailing Address City/Town Prov. Postal Code

Alberta Health and Wellness Number

BUFFALO TRAIL PUBLIC SCHOOLS PAYS EMPLOYEES BY DIRECT DEPOSIT ONLY. A VOID PERSONAL CHEQUE IS REQUIRED. PLEASE STAPLE IT TO THE FORM. IF YOU CHANGE YOUR BANK ACCOUNT, YOU MUST NOTIFY US IMMEDIATELY.

FOR SALARY CALCULATION (GRID PLACEMENT)

Years of University as per Teacher Qualification Statement: (A copy of TQS is required as per Page 3) Years of Contract Teaching Experience (as Per Page 2)

I confirm that Buffalo Trail Regional Division No. 28 is to deposit my pay into the bank account as identified on the attached blank void cheque. I understand that it is my responsibility to advise Buffalo Trail Regional Division No. 28 Payroll Department of any changes in the banking information provided fourteen (14) days prior to a direct deposit being made. ________________________________ _______________ SIGNATURE DATE

VERIFICATION OF TEACHING EXPERIENCE List the positions in chronological order. A Verification of Teaching Experience Form from each employing Board is required within 45 days of the start date of the contract. A copy of the appropriate form is attached. Substitute teaching with other Boards only counts towards permanent certification and for certification, it must be experience earned in Alberta.

A. CONTRACT TEACHING NAME OF BOARD:

Period of Employment

Indicate commencement and termination date

Nature of Employment

Indicate full-time or Part-time F.T.E.

Number of complete full-time school

years OR number of days if

part-time or full-time for a partial year

yy mm dd to yy mm dd

NAME OF BOARD:

NAME OF BOARD:

NAME OF BOARD:

Please enter total years on Page 1

B. SUBSTITUTE TEACHING (FOR PERMANENT CERTIFICATION ONLY)

NAME OF BOARD:

yy mm dd to yy mm dd No. of Days

G:\other shared data\CENTRAL\Rosanne\COMMUNICATIONS\NEW WEBSITE\HR\FORMS\2012\New Employee form for teachers and substitute teacher.docx

EE 001

ALBERTA TEACHING CERTIFICATE (Please check one)

I have a valid Alberta Teaching Certificate # and have attached a copy.

Name of Alberta Teacher Permanent Interim Expiry Date:

Certificate Held

I have applied for an Alberta Teaching Certificate and have received confirmation that my

application has been received. A copy of the confirmation is attached.

I will apply immediately for an Alberta Teaching Certificate and will notify your office

when I have received confirmation that my application has been received. Contact: Teacher Certification, ALBERTA EDUCATION at 1-780-427-2045 or

www.education.gov.ab.ca/teachercertification

CRIMINAL RECORDS CHECK Buffalo Trail Public Schools Regional Division requires that you provide us with a current criminal record check that will show if you have any convictions for any offense under the criminal code, or the food and drug act, or the narcotic control act, or any legislation dealing with the protection of children. This document is available through any RCMP or city police detachment and must be submitted PRIOR TO YOUR START DATE. In the event your criminal record check is unsatisfactory, your employment status will be reviewed and if necessary, your contract will be terminated. I have obtained a criminal records check and have attached it to my signed contract.

TEACHER QUALIFICATION STATEMENT (check one)

NOTE: (REQUIRED WITHIN 45 DAYS) Contact: Alberta Teachers Association @ www.teachers.ab.ca or phone 1-800-232-7208

I have attached a copy of my Teacher Qualification Statement

I have applied for a copy of my Teacher Qualification Statement and have received confirmation that my

application has been received. A copy of my letter of confirmation is attached.

I will apply immediately for a copy of my Teacher Qualification Statement and will submit a

copy of my letter of confirmation as soon as I receive it. Years of University as per Teacher Qualification Statement (TQS)

Contact: Alberta Teachers Association @ www.teachers.ab.ca or phone 1-800-232-7208

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EE 001

EDUCATION

Route

Major Minor

University Attended Grad Year Degree

Years of University

Please enter on Page 1

EMERGENCY CONTACT INFORMATION

Contact Name: Relationship:

Telephone:

Alternate Contact: Relationship:

Telephone:

In the event that I move, mail may be forwarded to the following permanent address:(ie parent or family member’s address)

Address

Mailing Address City/Town Prov. Postal Code

BUFFALO TRAIL PUBLIC SCHOOLS REGIONAL

DIVISION No. 28

1041 – 10A St.

Wainwright, AB T9W 2R4

T: 780.842.6144 F: 780.842.3255

Email: hrteachers@btps.ca

www.btps.ca

_______________________________________ (the Teacher)

Name

1. EMPLOYMENT STATUS: SUBSTITUTE TEACHING ON A CALL-IN

BASIS

2. ACCEPTANCE: In order to be placed on the Buffalo Trail Public Schools approved

substitute teacher list, the Teacher must:

a) complete the “Acceptance” section on page 2, and return this signed form to the

Human Resources Department at Central Services.

3. PROVISION OF INFORMATION: The teacher must:

a) before the date of commencement of employment, satisfy the Board that the

Teacher is a holder of a certificate of qualification as a teacher issued under the

School Act, and

b) comply with such further direction as the Board may give to the Teacher.

4. RULES AND REGULATIONS: The Teacher agrees to be bound by and comply

with all policies, regulations, rules and operational guidelines of the Board in force

from time to time.

5. NO UNTRUTHS: the Teacher expressly promises that the information provided by

the Teacher will be truthful in all respects, and the Teacher will not intentionally fail

to provide the Board with any pertinent information.

6. CRIMINAL RECORDS: The teacher expressly promises that the Teacher has never

been convicted under the Criminal Code of Canada, the Controlled Drugs and

Substances Act or similar legislation of any jurisdiction, of an offence, for which

he/she has not received a pardon.

7. DUTY OF FIDELITY: The Teacher agrees that by accepting employment with the

Board, the Teacher assumes a responsibility to at all times display conduct that is

appropriate to the role of a teacher, that does not harm in any way the reputation of the

Board, and that serves as an appropriate role model for students.

8. CONFIDENTIALITY: It is understood and agreed that all information pertaining to

the Employer’s business to which you become privy through your employment will

be maintained strictly confidential and will not, in any circumstances, be disclosed or

used by you without the express consent of the Employer. This information includes,

but is not limited to, student information, employee information, school and/or

jurisdiction financial information. This confidentiality requirement applies during

and after the course of your employment.

9. EFFECT OF NON-COMPLIANCE: This Offer of Employment is conditional. If

the Teacher does not strictly comply with all terms and conditions, this Offer is null

and void and the Teacher’s acceptance is of no force or effect.

ACCEPTANCE OF CONDITIONS OF EMPLOYMENT

I have read, understand, and agree to be bound by all the provisions of this offer of

employment as a substitute teacher on a call-in basis.

Dated this _____________________ day of _____________, in the year _________

________________________________ _____________________________

Witness Teacher

(Cannot be a spouse or relative)

BUFFALO TRAIL PUBLIC SCHOOLS REGIONAL DIVISION No. 28

1041 – 10A Street

Wainwright, AB T9W 2R4

T: 780.842.6144 F: 780.842.3255

Email: hrteachers@btps.ca

www.btps.ca

Name:

Phone Number: Cell Number:

Email Address:

Alberta Teaching

Certificate No.

If Interim – Expiry

Date

I would like my name to be placed on the substitute teacher list for the following schools for the

upcoming school year. I authorize that my email address may be shared with staff at schools who

wish to contact me via email: ___________________________________________________

Signature

Please check the schools you are willing to sub at. For a copy of our map, please see our website

www.btps.ca About Us Division Map.

Legend: *Elementary, ** Elementary/Jr High, ***K to 12, **** Jr/Sr High ***** Gr 4 to 12

Amisk * Autumn Leaf** Clandonald* Creighton**

Delnorte/Innisfree*** Dewberry*** Dr. Folkins/Chauvin *** E. H. Walter/PV***

Edgerton*** Highland View ** Holt ** Hughenden *****

Irma *** J. R. Robson/ Vermilion

**** Kitscoty Elementary* Kitscoty High ****

Mannville*** Marwayne Jubilee

***

Percy Lake ** Provost ***

Ribstone ** Rosewood ** South Ferriby** Students Online/Dewberry ***

Vermilion Elem.* Vermilion Outreach

****

Wainwright Elem.* Wainwright High****

I would be interested in a teaching position:

Full Time Part time Anywhere in the division

Only at:

I would be available to accept a short-term temporary position

Full-Time Part time Anywhere in the division

Only at:

Major: Minor:

Preferred Grade Level/Subject Area: