Employee Annual Acknowledgement

Employee Annual Acknowledgement

Personal Information

Position Information

Full-time Part-time Temporary/Seasonal

Employment History (most recent)

Education

Professional References

Legal Disclosures & Annual Policy Acknowledgement

At-Will Employment: I understand and acknowledge that my employment is at-will, meaning either I or the Employer may terminate the employment relationship at any time, with or without cause and with or without notice, unless otherwise agreed in a written contract signed by an authorized representative of the Employer.

Equal Opportunity: The Employer prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to protected characteristics. I acknowledge that I have read and understand the Employer's equal employment opportunity policy.

Confidentiality and Data Security: I acknowledge my duty to protect confidential, proprietary, and personal information of the Employer, its clients, and coworkers. I will comply with all data security, privacy, and information handling policies and understand that unauthorized disclosure may result in disciplinary action up to termination and potential legal action.

Return of Property: Upon termination or at the Employer's request I will return all Employer property, including documents, devices, access credentials, and other materials belonging to the Employer.

Policy Updates: I acknowledge receipt of, or access to, the Employee Handbook and any updates issued this year. I agree to comply with its policies and any lawful directives from the Employer.

Annual Acknowledgements and Consents

Please indicate your acknowledgement of each item below by checking the corresponding box.

I acknowledge receipt of the current Employee Handbook and any amendments issued this year.

I have read, understand, and will comply with the Employer's Code of Conduct and ethics policies.

I agree to maintain confidentiality of proprietary and personal information in accordance with Employer policies.

I acknowledge responsibility for complying with information security and acceptable use policies for systems and devices.

I understand and will follow workplace health, safety, and reporting procedures.

I will disclose any actual or potential conflicts of interest as required by Employer policy.

I certify that I have completed required annual compliance and safety training. Date Completed:

Background Check and Authorization

Authorization to Verify Information: I authorize the Employer to verify all information provided on this form and related employment records. I authorize prior employers and listed references to provide employment-related information to the Employer.

I authorize the Employer to obtain criminal background checks, credit checks (where job-related and permitted), and other investigative reports as permitted by law.

I consent to drug and alcohol testing in accordance with Employer policy and applicable law.

Employee Certification

I certify that all information provided on this Employee Annual Acknowledgement and any attachments is true, complete, and correct to the best of my knowledge. I understand that omission or misrepresentation of information may result in disciplinary action up to and including termination. I further acknowledge that I have read and understand the policies described above and agree to comply with them.

I understand that nothing in this acknowledgement, the Employee Handbook, or any other documents provided to me is intended to create a contract guaranteeing employment for any specific duration, except to the extent that a separate written agreement signed by an authorized representative of the Employer expressly states otherwise.

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