Employee Instructor Acknowledgement

EMPLOYEE INSTRUCTOR ACKNOWLEDGEMENT

Employee Name:   Employee ID:

Personal Information

Position Information

Start Date:   Employment Status: Full-time Part-time Temporary Contractor

Employment History

Education

References

Instructor Acknowledgement of Materials and Policies

By checking each box below, I acknowledge receipt of the listed item and confirm that I have read and understand my obligations under each document or policy.

I acknowledge receipt of the Training Manual and understand required curriculum standards.
I acknowledge receipt of the Course Syllabus(s) and agree to adhere to stated learning objectives and assessment criteria.
I acknowledge receipt of Safety Procedures and agree to enforce safety and emergency protocols.
I acknowledge the Assessment and Grading Policy and will apply grading standards consistently.
I acknowledge the Student Conduct Policy and will apply disciplinary and reporting procedures when necessary.
I acknowledge the Confidentiality and Intellectual Property policy and agree to protect organizational materials and student data.
I acknowledge the Technology Use policy and accept responsibilities for assigned systems and data security.
I acknowledge mandatory reporting obligations and agree to promptly report incidents as required.

Expected Weekly Instruction Hours:

Legal Disclosures

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

Equal Opportunity: The organization provides equal employment opportunities and does not unlawfully discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, or other protected characteristics. I agree to comply with nondiscrimination and non-harassment policies in the performance of my duties.

Authorization and Certification

I authorize the organization and its designated agents to contact my previous employers and references and to conduct background checks, including criminal history and employment verification, as necessary for my position. I certify that all information provided in this form is true, complete, and correct to the best of my knowledge. I understand that falsification or omission of material information is grounds for disciplinary action, up to and including termination.

I consent to reference and background checks as described above.

I certify that all information provided is true and complete and that I will comply with organizational policies and applicable law.

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