Employee Induction Questionnaire

EMPLOYEE INDUCTION QUESTIONNAIRE

Complete this questionnaire to assist Human Resources and your manager in completing your induction. All responses will be maintained in your personnel file. Where a response is not applicable, mark "N/A". Date of Induction:

Personal Information

Position Information

Full-time    Part-time    Temporary    Contractor

Employment History

Employer 1

From:    To:

Employer 2

From:    To:

Education

References

Reference 1

Reference 2

Reference 3

Emergency Contact

Legal Disclosures & Acknowledgements

At-Will Employment: Employment with the organization is at-will unless a written agreement signed by an authorized representative states otherwise. Either the employee or the employer may terminate employment at any time, for any lawful reason, with or without cause or notice. By checking the box below you acknowledge receipt and understanding of this statement.

I acknowledge I have read and understand the At-Will Employment statement.

Equal Opportunity: The organization provides equal employment opportunity and does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetic information, or any other protected characteristic under applicable law.

I acknowledge receipt of the Equal Opportunity statement.

Applicant Certification and Authorization

I certify that all information provided in this questionnaire is true, complete and correct to the best of my knowledge. I understand that omission, misrepresentation, or falsification of information may result in denial of employment or termination. I authorize the organization and its agents to verify any statements in this form, to obtain consumer reports and any other background checks, and to contact references and previous employers to the extent permitted by law.

I further authorize the release of education, employment, and other pertinent information held by previous employers, educational institutions, and references. I release all parties from liability for providing such information. I understand that any offer may be conditioned upon successful completion of required background screens, eligibility verification, and any lawful drug testing policies applicable to the position.

I consent to background checks, reference verification, and employment eligibility verification as described above.

I consent to pre-employment drug/alcohol testing if required as a condition of employment.

Additional notes or disclosures (medical restrictions, accommodation needs, security clearances, vocational licensure):

Equipment, Access & Onboarding Items

Provide any immediate access or equipment requirements required on or before your start date (laptop, keys, building access, software licenses, special PPE):

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