Employee CNA Agreement

Employee CNA Agreement

This Employee Certified Nursing Assistant Agreement ("Agreement") is entered into by and between Employer Name: and Employee Name: and is effective as of .

Personal Information

Position Information

Full-Time Part-Time Per Diem / Casual

Employment History

Education

References (Professional)

Licensure, Certification and Health Requirements

Immunization / Screening Status: TB test current Hepatitis B series documented Influenza vaccine current

Duties and Responsibilities

Employee shall perform the duties customarily associated with the position of Certified Nursing Assistant, including but not limited to assisting patients with activities of daily living, taking vital signs, reporting changes to nursing staff, maintaining patient hygiene, supporting infection control practices, and documentation in patient records in accordance with employer policies. Employee agrees to follow all clinical protocols and to complete mandatory training as required by the Employer.

Compensation, Hours, and Benefits

Compensation will be paid at the agreed rate set forth above. Overtime will be compensated in accordance with applicable law for hours worked beyond the standard workweek. Employee's eligibility for benefits, paid time off, and other programs will be determined by Employer policies in effect and any applicable eligibility waiting periods.

Yes No

Workplace Policies, Confidentiality, and Compliance

Employee acknowledges and agrees to comply with Employer policies, including but not limited to infection control, patient rights, mandatory reporting, workplace safety, and professional conduct. Employee will maintain the confidentiality of patient health information and other confidential Employer information and will comply with all applicable privacy and patient-record laws.

Employee certifies that they will not engage in patient abuse, neglect, exploitation, or any conduct inconsistent with the standards of care. Allegations of patient abuse or other serious misconduct may be grounds for immediate suspension or termination and will be reported to appropriate licensing and regulatory authorities.

Employee affirms understanding of confidentiality obligations and HIPAA requirements and agrees to comply with Employer's privacy policies.

Background Checks, Drug Testing, and Authorization

As a condition of employment, Employee consents to criminal background checks, verification of education and licensure, reference checks, and drug and alcohol testing in accordance with Employer policy and applicable law. Refusal to consent may disqualify the Employee from employment or result in termination.

I authorize Employer to obtain background, licensure, and employment verification and to perform drug and alcohol testing as required.

At-Will Employment & Equal Opportunity

Employment with Employer is at-will, unless otherwise provided in a separate written agreement signed by an authorized representative of Employer. This means either Employee or Employer may terminate the employment relationship at any time, with or without cause or prior notice, except as limited by applicable law.

Employer is an equal opportunity employer. Employment decisions are made without regard to protected status under applicable law.

I acknowledge that I have read and understand the At-Will Employment statement and Equal Opportunity statement above.

Applicant / Employee Certification

I certify that all information provided in this Agreement and attached forms is true, accurate and complete to the best of my knowledge. I understand that misrepresentation or omission of material facts may be cause for denial of employment or termination. I authorize Employer to contact references, prior employers, and educational institutions to verify information provided.

I certify that the information provided is true and grant the stated authorizations.

Severability and Governing Law

If any provision of this Agreement is held to be invalid or unenforceable, the remaining provisions shall remain in full force and effect. This Agreement shall be governed by the laws of the state in which the primary work site is located, without regard to its conflict of laws principles.

Acknowledgements

Employee acknowledges receipt of a copy of Employer's policies, understands the requirement to maintain current licensure and immunizations, and agrees to notify Employer immediately if licensure lapses or if any change in eligibility to work with vulnerable populations occurs.

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