Business/Organization
*
Business Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Is your organization for profit or not for profit?
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For Profit
Not For Profit
Public Body
What sector(s) does your organization primarily operate in?
Basic description of company and nature of your work
Which AB community or communities does your organization operate in?
*
List all municipalities you have staff in
Primary Contact
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First Name
Last Name
Title
Email
*
Phone
*
(###)
###
####
If base wage is below the living wage rate (excluding trainees and those still in probationary period) and you provide benefits, perks, or paid time off above the legislated minimum, please list the benefits
Ryan will follow up with you and calculate a customized total compensation rate for you.
How many staff do you employ? (total)
*
Full-time
Part-time
Student
Contracted
How many staff currently make at or above your living wage rate?
How many of your employee’s wages will need to be increased to meet your living wage rate?
If not all staff (including contractors) are currently paid a living wage, please outline the steps you will take to implement the living wage and the projected timeline (e.g., part-time employees will receive an increase to the living wage within X months).
Please list any external service providers you have contracts with, and the services included in these contracts.
Please list the action(s) you have taken or will take to include the living wage in your external service contracts (e.g., the living wage will be included when external service contracts are renewed). Contractors who work 120-plus hours are paid a living wage.
What is your plan to implement and maintain your living wage policy, and who is responsible for ensuring you remain in compliance with annual updates to the living wage rate?
Confirmation
*
Why do your feel it is important to pay a living wage? (Check all that apply)
If Other, please explain:
May we quote you? Please provide a quote sharing the reasons why you pay a living wage or the benefits to your organization. (Optional)
Would you like to receive any promotional items?
Optional items
How did you hear about the Living Wage Employer Program?
Annual Employer Fees (to be paid upon joining)
You will receive an invoice from our Treasurer, Edmonton Social Planning Council
Signature (spell out your complete name as acceptance)
*
First Name
Last Name
Date
MM
DD
YYYY
