Employee Download Form

EMPLOYEE DOWNLOAD FORM

Date of Request:    Employee Name:    Employee ID:

Personal Information

Position Information

Reporting Manager:    Proposed Start Date (if applicable):    Salary/Rate:

Download Request / Acknowledgment of Materials

The employee requests access to, or acknowledges receipt of, the following company records, documents or files. Check each item to indicate digital download or physical copy received, and record the date downloaded or provided.

Data Protection, Use and Restrictions

By requesting or accepting materials listed above, the employee acknowledges that materials may contain confidential or proprietary information. Employee agrees not to copy, redistribute, transmit, or otherwise use company confidential information for any purpose other than those expressly authorized in writing by the company. Unauthorized use or disclosure may result in disciplinary action, up to and including termination, and may give rise to civil or criminal liability.

Employment History (Most Recent First)

Title:    Dates Employed:

Title:    Dates Employed:

Education

Graduation Date:    Major / Field:

References

Phone:    Email:    Relationship:

Phone:    Email:    Relationship:

Phone:    Email:    Relationship:

Legal Disclosures and Consents

At-Will Employment: Nothing in this form constitutes a contract guaranteeing continued employment. Employment with the company is on an at-will basis, which means either the employee or the company may terminate the employment relationship at any time, with or without cause or notice, unless a separate written agreement signed by authorized company personnel states otherwise.

I acknowledge and understand the At-Will Employment statement above.

Equal Opportunity: The company provides equal employment opportunity to all applicants and employees. Decisions regarding hiring, transfers, promotions, and other conditions of employment are based on qualifications and business needs without regard to protected characteristics.

I have read and understand the Equal Opportunity statement above.

Authorization to Contact and Background Checks: I authorize the company and its agents to contact former employers and listed references to verify information provided and to obtain records relevant to my request or employment. I further authorize the company to conduct background checks, which may include criminal records, employment verification, and education verification, to the extent permitted by law. I understand that information obtained will be used solely for employment and administrative purposes.

I authorize the company to verify the information provided and to conduct background checks as described.

Applicant Certification

I certify that all information provided on this form is true, complete and accurate to the best of my knowledge. I understand that any falsification, omission, or misrepresentation of material facts may result in denial of the request or disciplinary action up to and including termination. By signing below I acknowledge that I have read, understood and agree to the terms and statements contained in this Employee Download Form.

I certify the above and accept the terms.

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