Employee Placement Paperwork

EMPLOYEE PLACEMENT PAPERWORK

Personal Information

Position Information

Reporting Manager:    Proposed Start Date:

Employment History

Employer 1

Employer 2

Additional Employer (optional)

Education & Certifications

Professional References

Reference 1

Reference 2

Reference 3

Legal Disclosures & Authorizations

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

Equal Employment Opportunity: The employer provides equal employment opportunity to all employees and applicants without regard to protected characteristics. Employment decisions are made on the basis of merit, qualifications and business needs.

Authorization to Verify: I authorize the employer, its agents and representatives to contact my previous employers, educational institutions, references and any other third parties necessary to verify the information I have provided. I further authorize such third parties to release employment and education information to the employer. I release the employer and any third party from liability for any lawful disclosure of information.

Background Check Consent: I consent to and authorize the employer to obtain criminal background checks, consumer reports, motor vehicle records, and other investigative reports as necessary to determine my suitability for employment, to the extent permitted by law. I understand adverse results may affect hiring decisions.

Applicant Certification

I certify that all information provided on this form is true, complete and correct to the best of my knowledge. I understand that any misrepresentation or omission of facts may be cause for refusal of employment or, if employed, disciplinary action up to and including termination. I agree to notify the employer promptly if any information provided here changes.

I understand that this Employee Placement Paperwork is not an employment contract and does not create any contractual rights, except as may be described in a separate written agreement signed by an authorized representative of the employer.

Additional Acknowledgments

I acknowledge receipt of employer policies, and understand that continued employment may be contingent on completion of required onboarding steps, eligibility verification, and training as directed by the employer.

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