LMIA-Exempt Offer of Employment or Visit

1 | Page Confidential When Completed

Version Feb 25, 2021 Queen’s Faculty Recruitment and Support Program

Form to be completed by the hirin

g or inviting department and emailed to the Faculty’s portal

representative (password protected).

All fields must be completed, all required documentation must be included. Incomplete information

delays submission.

Section 1: Foreign Worker Information (exactly as shown on Passport)

Family Name First Name(s)

Does the applicant currently have Immigration Status in Canada?

Yes, Study Permit ☐ OR Yes, Valid Work Permit ☐

Gender

Female ☐ Male ☐ Other ☐

Date of Birth (Year/Month/Day)

Country of Birth

Country of Residence

Citizenship

Passport Number Expiry Date (Year/Month/Day)

2 | Page Confidential When Completed

Version Feb 25, 2021 Queen’s Faculty Recruitment and Support Program

Section 2 - Assessment of the LMIA Exemption Category

Check the applicable LMIA exemption category below (one only).

For employees, if none of the exemptions fit, you will need a full LMIA. Please contact your department.

For visitors, determine the correct exemption by reviewing https://goo.gl/os6VTZ. If you are unsure,

contact monica.stewart@queensu.ca.

☐ PDF - Unionized

(Funded by supervisor’s grant)

For Offer Templates for both types of PDFs see

http://www.queensu.ca/humanresources/forms

☐ PDF Non-unionized

(Fully funded by own grant)

☐ U.S. Citizen (NAFTA)

Research Assistants, Librarians and University

Professors. Others as per NAFTA occupations list.

☐ Mexican Citizen (NAFTA)

Research Assistants, Librarians and University

Professors. Others as per NAFTA occupations list.

☐ Chilean Citizen (Canada Chile FTA) Research Assistants and University Professors

☐ Fulbright Scholar Fee exempt, letter from Fulbright required

☐ Canada Research Chair

Fee exempt, CRC program acceptance letter required

☐ Francophone Mobility Program

If foreign national’

s habitual language is French,

contact Faculty Recruitment 33167 for details.

☐ Visiting Professor or Guest Lecturer

Definitions of these immigration categories are at

https://goo.gl/fzYbhw

☐ International Experience Canada (young

professionals 18 – 35. Must have an

invitation from the government).

Sometimes referred to as “Interns”

Details at https://goo.gl/VVVtMx

☐ Research Award Recipient visiting for

more than 6 months

(Note: individuals staying less than 6

months who are self-funded do not require

a work permit and submission through the

Portal, but can apply for a visitor visa)

Letter from granting organization required. Letter must

indicate that the award is based on academic

excellence and awarded via a competitive process.

☐ ForeignMedicalResidentsandMedical

ResearchFellows

Foreign medical resid

ents are holders of a medical

degree equivalent to that of a Canadian Medical

Doctorate (MD) who are coming to Canada to complete

a residency at a Canadian hospital or in a clinical

setting as part of their medical training.

3 | Page Confidential When Completed

Version Feb 25, 2021 Queen’s Faculty Recruitment and Support Program

Section 3: Job/Visit Details

Address of the physical job location or location of visit

Unit/Department

Street Number

Street Address

Building

Country

Province

City

Postal Code

If there is an additional job location, please provide details on a separate sheet.

Job Title for Employees/ Title for Visitors – (title must specify field of work)

Expected start date of employment or visit

(year/month/day)

Expected duration of employment or visit

(# of days/months/years)

Main duties of the job/Main reasons for the visit (Brief summary)

Minimum education required for the job or visit (M.A., PhD, etc.)

NOTE: Degree or letter of substantial completion must be in hand at the time of entry to Canada.

Experience and skills required for the job duties or visit (very brief summary)

Section 4: Wage and Benefits (for unpaid visitors indicate 0)

Annual Wage in Canadian Dollars $

FASDF

4 | Page Confidential When Completed

Version Feb 25, 2021 Queen’s Faculty Recruitment and Support Program

Employee Benefits (as per Collective Agreement and Letter of Appointment)

Disability Insurance ☐

*Pension ☐

Extended Medical ☐

Dental ☐

*NOTE: only mark when contract extends beyond the date when the individual becomes eligible

as per the Collective Agreement (Post-Doctoral Fellows: AFTER two years of employment)

Type of Vacation (Days or % of Remuneration)

Number of Days OR % of Remuneration

Other Benefits (if applicable)

Note to Portal Account Holders: For all unionized positions, insert the following wording in this field:

**Extended Medical and Dental coverage is offered and paid for by employer if the employee opts

into these benefits. Salary rates and benefits are subject to current collective agreements.

Alternate compensation scheme (This section can be used for compensation types other

than salary, for example if the offer is a 'contract for service' situation or an academic

reward or grant)

IMPORTANT: All information on wages, alternate compensation and benefits declared in this

submission is subject to IRCC audit. It must accurately reflect future payroll and benefits records. All

materials, including those pertaining to visits, must be retained for 6 years in case of IRCC audit.

Section 5: Documentation to be attached

For ALL applicants – Bio Page of Passport

☐

For ALL EMPLOYEE applicants – Letter of Appointment or contract ☐

For applicants who have a study or work permit, attach a copy

NOTE: Study permit holders may be eligible to apply for a Post- Graduation Work Permit

instead of the LMIA exempt process. Refer them to QUIC student advisors for information.

☐

For Canada Research Chair and Canada Excellence Research Chairs, letter from CRC

Program confirming appointment

☐

For Individuals under International Experience Canada, confirmation of invitation from IRCC

and/or letter from an IEC recognized organization, see https://goo.gl/JCMTy4 for list.

☐

Documentation for Visitors (must be retained for 6 years)

Visitor’s CV ☐

Letter of Invitation from unit ☐

For Research Award Recipient, letter from granting institution, describing award ☐

For Fulbright Scholar, letter from Fulbright program confirming award ☐

For Visiting Professors, letter from home institution confirming return to the position ☐

5 | Page Confidential When Completed

Version Feb 25, 2021 Queen’s Faculty Recruitment and Support Program

Section 6: To be completed by Queen’s Unit Representative

Name:

Phone: Email:

Date:

---------To Be Destroyed After Submission Is Processed – A receipt will be provided ------

Section 7: Credit Card Information and Payment Authorization

Please provide corporate credit card information in order to process the $230.00 CAD - LMIA-Exempt

Work Permit Fee. The fee must be paid in the portal at the time of submission.

Completing this section authorizes the portal representative to charge a single transaction of $230.

Name of Cardholder: (as shown on Queen’s Corporate credit card)

Credit Card #:

Expiry Date: MM / YY

CCV# (3 digit on bac

of card)