Employee Onboarding Attestation

EMPLOYEE ONBOARDING ATTESTATION

Company Name:    Employee Name:

Personal Information

Position Information

Anticipated Start Date:    Annual Salary / Rate:

Full-Time    Part-Time    Temporary    Contractor

Employment History

Most Recent Employer

Dates Employed From:    To:

Previous Employer

Dates Employed From:    To:

Education

Major/Field:    Graduation Date:

Professional References

Reference 1

Reference 2

Reference 3

Legal Disclosures and Consents

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

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.

Background Check Authorization: I authorize the Company and its agents to obtain and review background information about me, including criminal history, education verification, employment verification and professional references. I understand that the Company may use third-party consumer reporting agencies to perform background checks where permitted by law. I further acknowledge that the Company will comply with applicable notice and consent laws in the collection and use of such information.

I hereby consent to the background check and verification described above.

Right to Work: I certify under penalty of perjury that I am authorized to work in the jurisdiction where I will be employed and that I will provide acceptable documentary evidence of my identity and work authorization as required by Company policy and applicable law.

I attest that I am legally authorized to work and will provide required documentation.

Employee Handbook: I acknowledge that I have received access to or been informed how to obtain the Employee Handbook and Company policies governing conduct, confidentiality, information security and conflicts of interest. I understand that I am required to review and comply with those policies.

I acknowledge receipt of or access to the Employee Handbook and related policy materials.

Criminal History Disclosure: Have you ever been convicted of a felony or pled no contest (nolo contendere) to a felony? Note: A conviction will not necessarily disqualify you from employment; the Company will consider the nature and recency of the offense as permitted by law.

No    Yes

Authorizations & Certification

Authorization to Contact Previous Employers and References: I authorize the Company and its agents to contact my prior employers, educational institutions, professional references and other persons or entities identified in this form to obtain information relevant to my application and employment. I release such parties from liability for providing truthful information to the Company.

Applicant Certification: I certify that the information provided on this Employee Onboarding Attestation is true, accurate and complete to the best of my knowledge. I understand that any omission or false statement may be grounds for rejection of my employment application or, if employed, discipline up to and including termination. I understand that this Attestation does not constitute an employment contract and that my employment, if any, will be subject to the terms described above and in Company policies.

By signing below I authorize the Company to rely on the statements and consents provided in this Attestation, and I acknowledge receipt of a copy of this Attestation upon request.

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