Contract Staff Information Form
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Before beginning, please have ready a scanned copy of the photo/information page of your valid passport. Your passport should be valid for at least 6 months beyond your scheduled return date. If you are currently renewing your passport, please attach a copy of your old passport for the time being and send a copy of your new passport when you receive it to BlythSummers@blytheducation.com.

Name (as on your passport):

Last name   First name  
Middle name
Gender   Date of Birth      
Nationality (as on your passport):  




Please attach passport scan here.

 
Make sure your file is under 10 MB.




Home Address      
City   Province
Postal Code  
Home Phone   Alternate Phone  
E-mail    
Social Insurance Number  




Do you require vegetarian meals?
 

Do you have any special dietary needs and/or allergies?
 

Emergency contact information:

Name   Relationship  
Primary phone   Alternate phone  




Staff Orientation will be held on Saturday, April 27th from 9:30 am to 3:00 pm.
 
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