APPENDIX F-2– REGISTRY OF LAID OFF EMPLOYEES – FORM 2

 

PSEA REGISTRY OF ELIGIBLE EMPLOYEES

      0. (For PSEA use only:)

 

  1. College, University College, Institute:

 

  1. Registrant:

 

  1. Service Date (length of service):

 

  1. Program/Area:

 

  1. Date of Availability (Lay-off or End of Contract):

 

Registrant Electronic Resume available at:

 

College/University College/Institute Contact Person:

 

College/University College/Institute Contact Phone Number:

 

Bargaining Unit Contact Person:

 

Bargaining Unit Contact Phone Number:

  

Information Release Waiver for the purposes of the Freedom of Information and Protection of Privacy:

 

I agree that the above personal information including my Resume (if available) can be made available to prospective Institutional Employers and Union via the internet or other means. 

 

            Signature of Registrant                                   Date