Employee E-Sign Packet

Employee E-Sign Packet

Personal Information

Employee Name:

Position Information

Start Date:     Salary / Rate:     Pay Frequency:

Employment History (Most Recent First)

Title:     Dates Employed:

Title:     Dates Employed:

Education

Graduation / Completion Date:

References (Professional)

Phone:     Email:

Phone:     Email:

Phone:     Email:

Legal Disclosures & Acknowledgments

At-Will Employment: I acknowledge and understand that, unless otherwise provided by a written agreement signed by an authorized representative of the employer, my employment is at-will. Either I or the employer may terminate the employment relationship at any time, with or without cause or notice.

Equal Employment Opportunity: The employer maintains a policy of equal employment opportunity and does not discriminate in employment practices on the basis of legally protected characteristics. Reasonable accommodations will be provided as required by law.

Authorizations & Consents

I authorize the employer to obtain consumer reports, background checks, and verify information provided in this packet for employment purposes. I understand that adverse information may affect hiring decisions.

I authorize current and former employers and references listed herein to provide information about my employment and qualifications.

I consent to pre-employment and reasonable-cause drug and alcohol testing in accordance with employer policy and applicable law.

I acknowledge receipt of the employee handbook and understand it contains policies and procedures; I agree to comply with those policies as a condition of employment.

I consent to the use of electronic signatures and agree that electronic signatures appearing on documents I sign have the same force and effect as my handwritten signature.

Applicant Certification

I certify that all information provided in this Employee E-Sign Packet is true, accurate, and complete to the best of my knowledge. I understand that falsification, misrepresentation, or omission of facts may result in rejection of my application or, if employed, disciplinary action up to and including termination. I authorize verification of any information provided and release persons and organizations from liability for furnishing such information.

By signing below, I acknowledge I have read, understood, and agree to the statements and consents contained in this packet.

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