Employee Classification Sheet

EMPLOYEE CLASSIFICATION SHEET

Personal Information

Employee Name:   Employee ID:

Phone:   Email:

Position and Classification

Department:   Supervisor:

Job Code:   Pay Grade:   FTE:

Position Effective Date:   Original Hire Date:

Classification Details (select applicable)

Full-Time    Part-Time    Temporary    Contract

Exempt (Salary, not eligible for overtime)    Non-Exempt (Hourly, eligible for overtime)

Pay Type: Salary Hourly   Standard Hours/Week:

Union Status:   Benefits Eligibility:

Work Location & Schedule

Regular Schedule:   Remote/Onsite/Hybrid:

Employment History (Most Recent)

Title:   From:   To:

Previous Employment (Second Most Recent)

Title:   From:   To:

Education

Major/Field:   Graduation Date:

References

Phone:   Email:   Relationship:

Phone:   Email:   Relationship:

Phone:   Email:   Relationship:

Legal Disclosures and Statements

At-Will Employment: Employment with this organization is on an at-will basis, which means either the employee or the employer may terminate the employment relationship at any time, with or without cause or prior notice, except where prohibited by law or by a written agreement signed by an authorized representative of the employer.

Equal Opportunity: The organization provides equal employment opportunity to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, or any other characteristic protected by applicable law. All employment decisions are made on the basis of qualifications, merit, and business needs.

Authorization and Applicant Certification

By signing below, the undersigned certifies that the information contained on this Employee Classification Sheet is true and complete to the best of their knowledge. The undersigned authorizes the employer to verify any information provided, to contact listed references and previous employers, and to obtain consumer reports, background checks, or other investigative reports as necessary for employment or continued employment and classification determinations. The undersigned further agrees to notify Human Resources promptly of any changes to the information provided herein.

I understand that any misrepresentation, omission, or falsification of information may result in disciplinary action up to and including termination. I also understand that this form is used for internal classification and does not by itself alter the at-will nature of employment unless otherwise documented in a signed written agreement.

I authorize the organization to contact former employers and references and to obtain background reports, including but not limited to criminal history, driving record, education verification, and employment verification, where permitted by law.

HR Determination (For HR Use Only)

Classification Determined By:   Date of Determination:

Probationary Period (if applicable):   Reviewed By Compensation:

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