Employment Contingent Agreement

EMPLOYMENT CONTINGENT AGREEMENT

Parties and Position

Employer Name:

Employee (Applicant) Name:

Personal Information

Position and Compensation

Proposed Start Date:    Salary / Rate:    Pay Frequency:

Employment Type: Full-time Part-time Temporary Exempt Non-exempt

Contingent Conditions of Employment

This offer of employment is conditioned upon the satisfactory completion of the items listed below. Employee acknowledges and agrees that failure to satisfy any contingency shall entitle Employer, in its sole discretion, to withdraw the offer or terminate employment.

1. Background investigation and verification of criminal history and employment records to Employer's satisfaction.
2. Drug/alcohol screening where required for the position and consistent with applicable law.
3. Verification of education, professional licenses or certifications claimed by Employee.
4. Proof of identity and legal authorization to work in the United States.
5. Other conditions:

Deadline for satisfying contingencies: Employee must satisfy all contingencies within days of the date Employer delivers this Agreement to Employee.

Background Check and Release

I authorize Employer and its agents to obtain consumer reports, investigative consumer reports, and any other information regarding my background, education, credentials, employment history, and criminal record. I authorize any person, institution, or former employer to release such information to Employer or its designated vendors. I release all such persons and entities from liability for providing such information in good faith.

Applicant understands that information obtained through background checks may be used as a basis for a decision to withdraw the offer or terminate employment. Applicant will be provided any disclosures and notices required by applicable consumer reporting laws prior to such checks, and Applicant will have the opportunity to dispute the accuracy of any consumer report.

Consent to background check: I consent to the background and reference checks described above.

Drug and Medical Screening

If applicable to the position, Employee must submit to drug and/or medical screening as required by Employer. The offer is conditioned on receipt of satisfactory results. Refusal to submit to testing or a positive result may result in revocation of the offer.

Consent to testing: I consent to drug and/or medical screening if required.

Employment History

Dates Employed: From to

Dates Employed: From to

Education

Graduation Date:

Professional References

Legal Disclosures

At-Will Employment: Employee's employment with Employer is at-will, which means that either Employer or Employee may terminate the employment relationship at any time, with or without cause and with or without notice, except as otherwise required by law or by a written agreement signed by an authorized representative of Employer.

Equal Opportunity: Employer is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetic information, or any other protected characteristic under applicable law. Employment decisions will be made on the basis of qualifications and business needs.

Applicant Certification and Authorization

I certify that all information provided in connection with this Agreement and in any submitted application or resume is true, complete, and correct. I understand that any misrepresentation, omission, or falsification may result in withdrawal of this offer or termination of employment.

Authorization to Contact Prior Employers and References: I authorize Employer to contact my previous employers, educational institutions, and listed references to verify information and obtain background information.

Applicant Affirmation: I certify that all information provided is true and complete and that I have read and understand this Employment Contingent Agreement.

Remedies, Governing Law, and Miscellaneous

Employer may revoke or rescind this offer if any contingency is not satisfied within the time period set forth above or if information relevant to the contingencies is discovered that, in Employer's reasonable judgment, renders the Employee unsuitable for the position. Nothing in this Agreement shall be construed to limit any rights or remedies available to Employer under law.

This Agreement shall be governed by the laws of the state in which the primary place of employment is located, without regard to its conflict of law principles. If any provision of this Agreement is held to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

Acknowledgment

By signing below, Employer and Employee agree that this document represents the complete contingent offer and the conditions thereof. This Agreement is effective when signed by both parties and dated accordingly.

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