Board Member HR Commitment

BOARD MEMBER HR COMMITMENT

Board Member Name:   Preferred Pronouns:

Personal Information

Position Information

Term Start Date:   Term End Date:

Employment History (Most Recent)

Dates Employed:   Reason for Leaving:

Employment History (Prior)

Dates Employed:   Reason for Leaving:

Education

References

Legal Disclosures & Acknowledgements

At-Will Employment: I acknowledge that signing this Board Member HR Commitment does not create an employment relationship between me and the organization. If I subsequently enter into employment with the organization, such employment will be on an at-will basis unless a separate written agreement states otherwise.

Equal Opportunity: I certify that I will uphold and promote the organization's commitment to equal opportunity, non-discrimination, and a workplace free from harassment. I will not engage in or tolerate conduct that discriminates against or harasses applicants, employees, volunteers, contractors, or other board members on any protected basis.

Certification Regarding Accuracy: I certify that the information provided in this form is true, complete, and accurate to the best of my knowledge. I understand that any material misstatement, omission, or false statement may be grounds for removal from the board or other disciplinary action.

Commitments Specific to HR Matters

I affirm and agree to the following (check each box to indicate assent):

I will not engage in discriminatory or harassing behavior and will promptly report concerns of discrimination or harassment.

I will maintain confidentiality of personnel records, employment decisions, disciplinary matters, and protected personal information except as required by law or organizational need-to-know.

I will not unilaterally hire, terminate, discipline, or otherwise take personnel actions; I will defer to management and the board's established HR policies and processes.

I will recuse myself from deliberations and votes involving personnel matters where I have a personal, familial, or financial conflict of interest.

I will complete required HR-related training (including harassment prevention and diversity/inclusion training) within the timeframes established by the board.

I will not retaliate against anyone who reports a good-faith concern or participates in an investigation.

Background Checks / Authorizations

Authorization for Background Check and Employment Verification: I authorize the organization to obtain background checks, criminal history checks, and to contact my prior employers and listed references for purposes related to board service. I understand such checks may include verification of employment history, education, and public records.

I authorize background checks and employment/reference verification as described above.

Acknowledgement and Certification

Applicant Certification: I certify under penalty of law that the statements made in this Board Member HR Commitment are true and correct. I understand that failure to comply with the commitments and policies set forth herein may result in removal from the board or other actions consistent with the organization's bylaws and policies.

Authorization to Contact: By signing below I authorize the organization and its authorized agents to contact references, former employers, and to conduct verification procedures as necessary to assess my suitability for board service.

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