Employee Ethics Acknowledgement

EMPLOYEE ETHICS ACKNOWLEDGEMENT

This Employee Ethics Acknowledgement documents the employee's receipt, understanding, and acceptance of the employer's Code of Ethics and related policies. The employee agrees to comply with the obligations set forth below, to disclose potential conflicts of interest, and to cooperate with any investigations. Completion and signature attest to acceptance of the policies and authorization of specified background inquiries as set forth herein.

Personal Information

Position Information

Employment History (Most Recent)

Education

Professional References

Legal Disclosures and Policy Acknowledgements

At-Will Employment: Employment with the company is at-will and may be terminated by the employee or the employer at any time, with or without cause or notice, unless a written agreement signed by the authorized company representative states otherwise.

Equal Opportunity: The company is an equal opportunity employer. Employment decisions are based on business needs, job requirements, and individual qualifications, without regard to protected characteristics under applicable law.

Code of Ethics and Confidentiality: The employee acknowledges receipt of the company's Code of Ethics and agrees to maintain the confidentiality of proprietary and confidential information. The employee will not, during or after employment, disclose or use confidential information except as required in the ordinary course of performing job duties. Upon separation, the employee will return all company property and materials.

Conflicts of Interest and Gifts: The employee must avoid situations that create or appear to create conflicts between personal interests and the company's interests. The employee will disclose any material personal, familial, or financial relationships that could reasonably be expected to affect impartial job performance. Receiving gifts, entertainment, or other items of value from persons seeking to influence business decisions is prohibited if the item is substantial or would create a conflict; modest, infrequent courtesies that do not influence judgment may be permitted with manager approval.

Reporting; Non-Retaliation: Employees are required to report known or suspected violations of law, policy, or this Code promptly to their manager, human resources, or the designated ethics officer. The company prohibits retaliation against employees for reports made in good faith. Anyone found to have retaliated against a reporter will be subject to disciplinary action up to and including termination.

Investigations and Cooperation: The employee consents to cooperate with internal or external investigations, including providing truthful information, documents, and access to devices or accounts as reasonably required. The company may investigate alleged misconduct and take corrective action when warranted.

Authorizations and Acknowledgements

By checking the boxes below and signing this form, the employee affirms the acknowledgements and provides the authorizations indicated.

I acknowledge receipt of the company's Code of Ethics and related policy documents.

I understand my obligations under the Code, including confidentiality, conflict disclosure, and reporting requirements.

I authorize the company to contact my previous employers and references and to obtain background checks, investigative consumer reports, and employment verification as permitted by law.

Where permitted by law, I consent to monitoring of company-provided communications systems and understand that personal use may be limited or monitored.

I understand the company prohibits retaliation against employees who report violations in good faith and I will not engage in retaliatory conduct.

Applicant Certification and Additional Disclosures

I certify that all information provided in this form is true, accurate, and complete to the best of my knowledge. I understand that falsification, omission, or misrepresentation of information may result in corrective action, up to and including termination of employment or rescission of an employment offer.

By checking the box below I affirm the certification above:

I certify that the information I have provided is true and complete and I agree to comply with the company's Code of Ethics as a condition of my employment.

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