Nova Scotia Nominee Program NSNP Demand 200 Employer Information

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Nva Sctia Nminee Prgram NSNP Demand 200 Emplyer Infrmatin _ This frm must be cmpleted and signed by the emplyer supprting an NSNP 100 applicatin. It is nt an emplyment cntract, but verifies that an ffer f emplyment has been made. Sectin A Emplyee Infrmatin Name f wrker: (family name, given name(s)) Psitin ffered: Sectin B Emplyer Infrmatin 1. Business name: Name f business cntact: Telephne: Email: Website: Address where emplyee will wrk: street address city, twn r village pstal cde 2. Head ffice infrmatin, if applicable Mailing address: street address city, twn r village cuntry pstal cde Telephne: Email: Crprate registry number: Canada Revenue Agency business number: Year business established: Date business purchased: (dd/mm/year) NSNP 200 Emplyer Infrmatin (May 8 2017) Page 1 f 8

3. Descriptin f the cmpany. Prvide a cncise descriptin f yur cmpany s type f industry, gds manufactured, r services prvided and attach infrmatin n the business. Number f emplyees in Nva Sctia: Full Time: Part Time: Temprary Freign Wrkers: Sectin C General Infrmatin 1. Hw did yu learn abut the Nva Sctia Nminee Prgram? Nva Sctia Office f Immigratin Website Industry assciatin Other (specify): Nva Sctia prmtinal material Applicant 2. Hw did yu learn abut this applicant? Emplyer recruiting activities Lawyer (name) Immigratin cnsultant (name) Recruiter (name) Other (specify) Emplyee initiated cntact with emplyer Nte: An authrized, paid immigratin representative must be a member in gd standing f either the Immigratin Cnsultants f Canada Regulatry Cuncil (ICCRC), a Canadian prvincial r territrial law sciety, r the Chambre des ntaires du Québec. Fr mre infrmatin n immigratin representatives and wh may assist yu, see www.cic.gc.ca/english/infrmatin/representative/rep-wh.asp Emplyers using a recruiter t assist with hiring freign wrkers must use a licenced recruiter. Fr mre infrmatin n licenced recruiters see http://nvasctia.ca/lae/emplymentrights/fw/licensedrecruiters.asp Fr mre infrmatin n hiring immigrants visit the Nva Sctia Office f Immigratin s emplyer webpage at http://nvasctiaimmigratin.ca. NSNP 200 Emplyer Infrmatin (May 8 2017) Page 2 f 8

Emplyers Registratin fr the Purpse f Hiring Freign Wrkers The Nva Sctia Labur Standards Cde regulates the hiring f freign natinals t wrk in Nva Sctia. Emplyers require a registratin certificate frm the Labur Standards divisin f the Department f Labur and Advanced Educatin t lawfully hire a freign wrker in Nva Sctia. Emplyers must prvide the Nva Sctia Office f Immigratin with a cpy f the registratin certificate. Emplyers need t prvide the registratin certificate when applying t Service Canada fr a Labur Market Impact Assessment (LMIA). There is n fee fr the registratin certificate. Recruiting Freign Wrkers The Labur Standards Cde cntains rules abut recruiting freign natinals t wrk in Nva Sctia. Recruiters wh want t recruit freign wrkers fr emplyment in Nva Sctia must be licensed by Labur Standards t engage in this wrk. Emplyers wh d their wn recruitment d nt need a license. Labur Standards psts a list f licensed recruiters: http://nvasctia.ca/lae/emplymentrights/fw/licensedrecruiters.asp Fr mre infrmatin, cntact Labur Standards at (902) 424-4311 r 1 (888) 315-0110 (tll free in Nva Sctia) r by visiting http://nvasctia.ca/lae/emplymentrights/fw/freignwrker.asp Sectin D Psitin Infrmatin Ensure that yu have attached: A detailed psitin descriptin including rles and respnsibilities, qualificatins, educatin and experience required Detailed cnditins f emplyment and all supprting dcuments; including, but nt limited t: Wages (if there is a prbatinary perid, explain the length f time and pay during this perid) vertime pay vacatin time & vacatin pay hliday pay hurs f wrk lcatin f emplyment benefits (including accmmdatins, if applicable) A cpy f the accepted jb ffer with the signature f the authrized signing fficer fr yur business and the signature f the emplyee accepting the ffer The applicant must uplad this NSNP Demand 200 frm and its supprting dcuments listed abve as a single PDF r multiple PDFs within the NSNP200: Emplyer sectin f the nline applicatin. NSNP 200 Emplyer Infrmatin (May 8 2017) Page 3 f 8

1. Is this a permanent, full-time psitin? Yes N 2. Annual salary: 3. Benefits and bnuses: 4. Educatin requirements: University Trade Schl/Cllege High Schl Other: 5. Canadian/Nva Sctia industry r assciatin standards required: (Check all bxes that apply) Industry standards Assciatin standards Jurneyman standards Licenses: Other 6. Is this a uninized psitin? Yes N If yes, attach a letter indicating unin cncurrence. 7. Language fluency required fr the psitin: English Read Speak Write Listen Fluent Well Basic Nne French Read Speak Write Listen Fluent Well Basic Nne 8. Is this a new psitin? Yes N 9. Describe why yu need this psitin in yur business: (attach additinal pages if necessary) NSNP 200 Emplyer Infrmatin (May 8 2017) Page 4 f 8

Sectin E Labur Market Impact Assessment The emplyer must prvide evidence f recruitment fr the psitin. Satisfactry evidence includes: a current psitive Labur Market Impact Assessment (LMIA), as described belw r prf that the psitin ffered r wrker is cnsidered t be LMIA exempt. LABOUR MARKET IMPACT ASSESSMENT If the emplyer has received a psitive LMIA frm Emplyment and Scial Develpment Canada (Service Canada) fr this psitin, attach a cpy f the LMIA in which the applicant is named. N ther recruitment dcumentatin is required. The LMIA s expiry date must be n r after the date f applicatin t the Nva Sctia Office f Immigratin (NSOI). LABOUR MARKET IMPACT ASSESSMENT EXEMPTION If the psitin ffered and/r the wrker is LMIA exempt as identified by Immigratin, Refugees and Citizenship Canada, prf must be submitted. (See: www.ci.gc.ca/english/resurces/tls/temp/wrk/pinin/index.asp) Sectin F Supprt and Retentin Plan 1. Describe any benefit plans, emplyee advancement pprtunities, r ther factrs that may encurage the applicant t remain with yur cmpany. 2. Will yur cmpany prvide the applicant and accmpanying family with any assistance related t the payment f Gvernment f Canada immigratin fees, travel csts, r finding husing? Yes N If yes, explain. 3. Will yur cmpany prvide settlement supprts t assist the applicant and the accmpanying family with matters such as rientatin, language training r ther settlement needs? Yes N If yes, explain. NSNP 200 Emplyer Infrmatin (May 8 2017) Page 5 f 8

Sectin G Authrity t Cllect and Disclse Infrmatin Initial beside each statement and authrizatin t acknwledge agreement and then sign at the bttm f the page. Initials This infrmatin release must be signed by an authrized signing fficer f the cmpany. The cmpany has a histry f gd wrkplace and business practices, and cmplies with all applicable laws and regulatins, including, but nt limited t the fllwing statutes, as amended frm time t time (refer t fficial versins): Labur Standards Cde (as nted in Sectin C) https://www.nvasctia.ca/lae/emplymentrights/dcs/laburstandardscdeguide.pdf Wrkers Cmpensatin Act as applied by the Wrker s Cmpensatin Bard f Nva Sctia http://www.wcb.ns.ca/abut-us/legislatin-wrkers-cmpensatin-act.aspx Immigratin and Refugee Prtectin Act http://laws-lis.justice.gc.ca/eng/acts/i-2.5/fulltext.html Nva Sctia Human Rights Act http://nslegislature.ca/legc/statutes/human%20rights.pdf Nva Sctia Occupatinal Health and Safety Act http://nslegislature.ca/legc/statutes/ccupatinal%20health%20and%20safety.pdf Nva Sctia Health Prtectin Act, Fd Safety Regulatins (Fd Services Industry Only) http://www.nvasctia.ca/just/regulatins/regs/hpafd.html By signing, I authrize the Gvernment f Nva Sctia t cllect, use, retain, disclse, and destry persnal and business infrmatin t assess individual applicatins t the Nva Sctia Nminee Prgram. If I have any questins abut the cllectin, use, retentin, disclsure, r destructin f persnal and business infrmatin, I may cntact the Nva Sctia Office f Immigratin. In additin, I authrize the Gvernment f Nva Sctia t research, mnitr, and evaluate the Prgram under the authrity f the Nva Sctia Freedm f Infrmatin and Prtectin f Privacy Act, the Immigratin and Refugee Prtectin Act and Regulatins and ther relevant Gvernment f Canada legislatin. I authrize immigratin fficials with the Gvernment f Nva Sctia t disclse persnal and business infrmatin t the Gvernment f Canada, and t cllect persnal and business infrmatin frm the Gvernment f Canada, as necessary, fr the purpse f assessing, verifying infrmatin, mnitring and evaluating the Nva Sctia Nminee Prgram, r in the event f any suspected nn-cmpliance with any prvincial r federal law. I authrize immigratin fficials with the Gvernment f Nva Sctia t disclse persnal and business infrmatin t ther Canadian prvincial and territrial immigratin fficials, and t cllect persnal and business infrmatin frm ther Canadian prvincial and territrial immigratin fficials, as necessary, fr the purpse f assessing, verifying infrmatin, r in the event f any suspected nn-cmpliance with any prvincial r federal law. I understand that the Gvernment f Nva Sctia may cntact any persn t verify infrmatin prvided by me in this frm. NSNP 200 Emplyer Infrmatin (May 8 2017) Page 6 f 8

I cnsent t the Gvernment f Nva Sctia cllecting any persnal, business and ther infrmatin required as part f my cmpany s invlvement in the Nva Sctia Nminee Prgram and t lcate and cntact me and my cmpany abut evaluating the prgram and ur participatin in it. I cnsent t the Gvernment f Nva Sctia cllecting this infrmatin frm any federal, prvincial, municipal r ther lcal authrity r any ther persn, department, agency r rganizatin hlding such infrmatin. I cnsent t the sharing f the infrmatin in this frm with the applicant t whm I have made a permanent full-time jb ffer. Name f authrized signing fficer (Family name, given name) Title f authrized signing fficer Signature f authrized signing fficer Date (dd/mm/year) Nte that the Emplyer, and nt a third party representative, must be a party t, and signatry f, the Emplyer Frm. Sectin H Declaratin f Authrized Signing Officer Initial beside each statement and declaratin t acknwledge agreement and then sign at the bttm f the page. Initials I declare that the infrmatin I have given in this frm is truthful, cmplete and crrect, and give cnsent t the Gvernment f Nva Sctia t verify any infrmatin I have prvided in this frm. I certify that, t my knwledge, the jb ffer nted abve des nt cnflict with any bargaining agreements, the settlement f any labur dispute, the emplyment f a persn invlved in such a dispute, r any labur agreements/standards. I declare this jb ffer and signed cntract are bna fide. I certify that I have prvided cnfirmatin f emplyment and ther relevant dcuments t demnstrate my cmpany s financial ability t hnur this emplyment ffer. I understand that any false statement r cncealment f infrmatin may result in, but is nt limited t, sme r all f the fllwing cnsequences: Refusal f the crrespnding applicatin t the Nva Sctia Nminee Prgram; and/r Refusal r withdrawal f the applicant s nminatin; and/r Decisin by the Office f Immigratin t refuse t prcess ther applicatins invlving the cmpany r cmpanies assciated with the cmpany, the authrized signing fficer r ther fficers r emplyees in the cmpany. I understand all these statements and have asked fr and received an explanatin n every pint that was nt clear t me. NSNP 200 Emplyer Infrmatin (May 8 2017) Page 7 f 8

Name f authrized signing fficer (Family name, given name) Title f authrized signing fficer Signature f authrized signing fficer Date (dd/mm/year) Prvide this cmpleted frm t the wrker t submit with their applicatin t the Nva Sctia Nminee Prgram. Cntact Infrmatin Pstal Bx Address (Mail) Nva Sctia Office f Immigratin PO Bx 1535 Halifax NS B3J 2Y3 CANADA Civic Address (In persn) Nva Sctia Office f Immigratin 1469 Brentn Street 3rd Flr Halifax NS B3J 3W7 CANADA Tel: (902) 424-5230 Fax: (902) 424-7936 Email: nsnp@nvasctia.ca Web: www.nvasctiaimmigratin.ca NSNP 200 Emplyer Infrmatin (May 8 2017) Page 8 f 8