CITY OF BRAMPTON
CRIMINAL RECORD CHECK
AGREEMENT
(Part Time & Temporary Employees)
Employee’s Name
Employee Number
Supervisor Name
Criminal Record
Check Type
Position
Supervisor’s Position
(Supervisor to indicate the appropriate criminal record check to be performed based on position
requirements and provide the required Consent for Disclosure Form)
Standard
or
Vulnerable
Welcome to the City of Brampton! As a condition of employment, your position requires the satisfactory completion of
a criminal record check. The type of check used (either a standard check or one for those working with members of the
vulnerable sector) is determined by your position and as indicated above as determined by your supervisor.
Returning employees who have provided a past criminal record check must acknowledge by signing this employment
agreement that there has been no change to the previous criminal background reference on file.
Please note, that for those employed in positions that require a criminal record check for the vulnerable sector will
need to have the check completed on a regular basis – at a minimum of once every three years. You are required to
obtain your own search through your local police service.
For New Employees:
By signing this document, you consent to having a criminal record check conducted.
For positions involved with the vulnerable sector, you acknowledge that the City
may request a search at anytime, but will require one upon reaching three years of
employment.
For Returning Employees: By signing this document, you are confirming that your criminal record check has not
changed since your hire.
Agreement & Acceptance
Signing below indicates that you have read and understood the above agreement.
Employee’s Signature
Date
(If under 16 years of age, a parent or guardian signature is required)
Parent / Guardian Signature
Date
The personal information on this form is collected under the authority of the Municipal Act, SO 2001, c.25, and will be used for employment purposes. Questions
about the collection of personal information should be directed to the City of Brampton, Human Resources Division at 905-874-2151.
Document revised 10/26/2018