Educator's Monthly Work Hours Submission

1

Educator's Full Name* This field is required.

First Name

Last Name

2

Educator's Work Email* This field is required.

example@example.com

3

Educator's Phone Number* This field is required.

Area Code

Phone Number

4

Educator's ECE Level* This field is required.

5

Educator's ECE Level Certification Number* This field is required.

6

Today's Date* This field is required.

Date

7

Approximate Start Date of Work Commencement* This field is required.For example: first work day at the start of the month = 2025-01-01

Date

8

Approximate End Date fo Work Completion* This field is required.For example: last work day at the end of the month = 2025-01-31

Date

9

How many paid work hours did you accumulate for this month's claim?* This field is required.

10

Screenshot/Picture of your Staff Attendance* This field is required.FRONT

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

11

Screenshot/Picture of your Staff AttendanceBACK

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

12

Educator's Signature * This field is required.Educator Verification and Disclaimer For Monthly Hours Submitted – Panda Cub House I, the undersigned, hereby certify that the hours I have reported for this month are true, accurate, and complete to the best of my knowledge. By submitting this form, I affirm that: - I was physically present and actively fulfilling my duties during the hours claimed. - I have not reported hours for any time not worked or not productive (i.e. no instances of time theft). - I understand that Panda Cub House upholds a zero-tolerance policy for time theft, which includes, but is not limited to, falsifying time records, buddy punching, or claiming work hours not performed. - I am aware that time theft is considered a form of fraud and a breach of trust, and may result in disciplinary action up to and including termination of employment. This declaration aligns with Panda Cub House’s internal policies and Alberta’s Employment Standards Code and Occupational Health and Safety Act, which require honesty and accuracy in employment practices. I understand that any false declaration may be grounds for legal action under applicable provincial or organizational regulations. By checking the box below, I confirm that I have read, understood, and agree to this verification. By signing below, I confirm and agree to the above statement.

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