Employee Signed Document

EMPLOYEE SIGNED DOCUMENT

Personal Information

Position Information

Employment History

Employer 1 — Provide most recent employer details.

Employer 2 — Provide prior employer details.

Education

Professional References

Reference 1

Reference 2

Reference 3

Emergency Contact

Legal Disclosures and Authorizations

At-Will Employment: I acknowledge that, unless expressly provided otherwise in a written employment 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 or advance notice.

Equal Employment Opportunity: The employer prohibits discrimination or harassment on the basis of race, color, religion, sex, national origin, age, disability, veteran status, or any other characteristic protected by applicable law. I understand that employment decisions are made on the basis of qualifications, merit and business need.

Authorization to Verify Information: I authorize the employer and its agents to investigate all statements made on this document and to obtain consumer reports, background checks, employment verification, education verification, and any other information required in connection with my application or continued employment. I understand that the employer may rely on these verifications in making employment decisions.

I acknowledge that any offer of employment is contingent upon satisfactory completion of any required verifications and screenings. I authorize current and former employers, educational institutions, and references to release information to the employer for these purposes.

Applicant Certification and Acknowledgments

I certify that all information provided in this Employee Signed Document is true, accurate, and complete to the best of my knowledge. I understand that falsification, omission, or misrepresentation of information may result in refusal to hire or, if hired, termination of employment.

Confidentiality and Proprietary Information

I understand that in the course of my employment I may have access to trade secrets and other confidential or proprietary information. I agree to protect and not disclose confidential information during or after my employment, except as authorized by the employer or required by law. I understand that unauthorized disclosure may result in disciplinary action including termination and legal action.

Authorization to Contact Previous Employers

I authorize the employer and its agents to contact my previous employers and references for the purpose of verifying employment history, performance, and eligibility for rehire. I release those employers and the employer from any liability for providing truthful information.

Voluntary Self-Identification (Optional)

The following information is voluntary and will be used for recordkeeping and equal employment opportunity purposes. You may decline to provide this information without adverse consequences.

Acknowledgment and Signature

By signing below, I certify that I have read, understand, and agree to the statements, acknowledgments, and authorizations contained in this Employee Signed Document. I understand that this document does not constitute an employment contract unless expressly stated in a separate written agreement signed by an authorized representative of the employer.

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