Employee LOO Form

EMPLOYEE LOO FORM

Offer Summary

Employer Name:     Employee Name:

Position Title:     Department:

Reporting Manager:     Proposed Start Date:

Compensation & Benefits

Base Salary (annual):     Pay Frequency:

Bonus Eligibility:

Benefits Summary:

Conditions of Employment

This offer is conditioned upon successful completion of reference checks, background screening, and verification of eligibility to work. Employee must provide satisfactory proof of identity and employment authorization prior to commencement of employment.

Probationary Period: . Performance and fit will be evaluated during this period.

Confidential Information and Inventions Assignment: Employee will be required to execute the employer's standard proprietary information, invention assignment and non-solicitation agreement as a condition of employment.

Personal Information

Employment History

Employer 1

Start Date:    End Date:

Employer 2

Start Date:    End Date:

Education

References (Professional)

Reference 1

Reference 2

Reference 3

Legal Disclosures & Policies

At-Will Employment: Employment, if commenced, will be on an at-will basis, which means that either party may terminate the employment relationship at any time, with or without cause or advance notice, subject only to any written agreement signed by both parties.

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

Background Check Authorization: I authorize Employer to obtain consumer reports, background checks, criminal history, and employment verification where permitted by law. I understand that any offer is conditioned upon satisfactory results.

Authorization to Contact Previous Employers and References: I authorize the Employer to contact the employers and references listed on this form and to request information regarding my prior employment, performance, and eligibility for rehire.

I consent to the background checks and authorizations described above.

Applicant Certification and Acknowledgement

I certify that all information provided in this Employee LOO Form is true, accurate and complete to the best of my knowledge. I understand that falsification, omission or misrepresentation of information may result in withdrawal of the offer or termination of employment.

I acknowledge that I have read and understand the terms set forth in this document. Acceptance of this offer is effective only upon signature by both the Employer and Employee and, where applicable, completion of the pre-employment conditions described herein.

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