TO SEEK SUPPORT FOR OBTAINING A CANADIAN WORK PERMIT

Employee’s full name:

(Exactly as it appears on passport)

Nickname, maiden name, alias, etc.:

(if applicable)

Full residential address:

Contact phone number:

Citizenship(s):
(List all citizenships – if applicable)

City & country of birth

Please provide the following information and/or send a legible scanned color copy of the following
documents:
 Employee’s biographical identification page of passport;
 Employee’s current Canadian Visa/work permit;
 Employee’s updated resume in French or English
(should include current position with Bombardier – if applicable);
 Employee’s proof of post-secondary education (e.g., diplomas, degrees, transcripts, etc.);
 Employee’s proof of qualification (e.g., A&P license, pilot license, etc.); and
 Employee’s previous Canadian Visa(s)/work permit(s) – if applicable);

BACKGROUND (TO BE COMPLETED BY EMPLOYEE)

1. Have you ever applied for any Canadian immigration application? Please select
(e.g., Worker, Spousal Work Permit, Temporary Resident Visa/Permit,
Permanent Residence, Student)
r If yes, please provide a copy.

2. Have you obtained a Certificat de Sélection du Québec (CSQ) or any Please select
other provincial certificate of nomination (i.e. OINP or other) or have
applied for one?
r If yes, please provide a copy.

3. Provide the date & location of place of your initial entry into Canada.
(e.g.; Lacolle land border, PE Trudeau or Pearson Intl. airport, etc.)
*Does not apply to Business Traveler / Not applicable to FBT

Date: Please select

Location:

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4. Provide the date & location of place of your last entry into Canada.
(e.g.: Lacolle land border, PE Trudeau or Pearson Intl. airport, etc.)

Date: Please select

Location:

5. In the past five (5) years, have you lived in any country other than your Please select
country of citizenship or permanent residence for more than
six (6) months?
r If yes, please list ALL COUNTRIES

6. Do you have any physical or mental disorder for which you will require Please select
social and/or health services (other than medication) during your stay in
Canada?
7. Have you ever committed, been arrested or charged with any criminal Please select
offense in any country?
r If yes, please provide details on a separate sheet
*Note: We need this information to determine your eligibility
8. What is your marital status? Please select
r If married, will your spouse travel with you to Canada? Please select
*Note: Does NOT apply to Business Travelers.

Considering that Immigration and Tax regulations have become more restrictive, as per our
internal policy, it is now mandatory to apply for a Social Insurance Number (SIN) even if you
are not placed on the Canadian payroll.
NO EXCEPTION!

By signing this document, you hereby agree to follow and adhere to the instructions that will
be provided to you in the process of obtaining your Canadian Work Permit, as well as your
Social Insurance Number (S.I.N.) and providing us with a copy thereof ASAP.

X
Employee's signature

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 WORK ASSIGNMENT (TO BE COMPLETED BY HRBP/MANAGER)

Employee’s full name:

(Exactly as it appears on passport)

Expected travel date (if employee is not Cliquez ici pour entrer une date.
currently in Canada):
(As precise as possible. This will
determine case priority – if applicable)

Job Title/Position being offered in

Canada:

If applicant has a valid work permit,

please indicate the date of expiry: Cliquez ici pour entrer une date.

1. When did the employee initially join the Bombardier organization? NA

2. When is the employee scheduled to start working with Bombardier in NA
Canada?

3. Which Bombardier’s main location/site the employee will be travelling

to or working at?
r Please indicate exact address of Bombardier’s main location/site
below:

4. Will the employee be travelling/working to/at other Bombardier’s no

site(s) in Canada?

r If yes, please indicate exact address of Bombardier’s other site(s)

below:

5. Will the employee work at clients/suppliers/vendors site in Canada? Please select

r If yes, please provide contact details of the employee’s
supervisor who will oversee/control/evaluate his/her work
below:

Company: NA
Contact Name: NA
Contact Title:
Contact Email: NA
Contact Number: NA
6. On what projects will the employee be working?
r Please list the project(s) below (e.g.,: Global 7000/8000,
Challenger, etc.):

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 7. What is the employee’s specialized knowledge?
Provide detailed description:

8. What makes the employee’s unique and uncommon?

Provide detailed description:

9. Will the employee engage in hands-on work? Yes

10. Will the employee receive or give training? Yes
10. Will the employee fill a managerial position? no
11. What is the current annual salary of employee?

What is the currency? CAD

12. Will the employee be placed on the Canadian payroll? Yes
r If yes, please provide the exact salary in CAD currency.

13. Will the employee be paid overtime? Yes

r If yes, what will be the overtime rate per hour?

14. After how many hours of work per week will the overtime apply? 40

15. Employee’s benefits:

*** Does not apply to Business Traveler / Not applicable to FBT

 Does the job offer disability insurance? Yes

 Does the job offer dental insurance? Yes
 Does the job offer a pension plan? Yes
 Does the job offer extended medical insurance? Yes
 (i.e., prescription drugs, paramedical services, medical services &
equipment)

r Does the job offer vacation days? Yes

r If yes, how many vacation days? 10

(# of business days per year.)
OR
r If yes, how much remuneration?
(% of gross salary.)

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 16. Does the job offer any other benefits? No
r If yes, please provide details below.

Please send a copy of the following document:

 A detailed job description (minimum 5-6 detailed sentences) of the
tasks to be performed in Canada.

X
HRBP/Manager's signature

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