Employment Panel Contract

EMPLOYMENT PANEL CONTRACT

This Employment Panel Contract (the Agreement) is entered into between Employer Name: and Panelist Name: . Effective Date:

Personal Information

Position and Panel Assignment

Panel Role:   Department:

Expected Start Date:   Expected Term (if applicable):

Compensation Type: Employee Independent Contractor Volunteer

Duties, Scope and Time Commitment

Panel Duties and Scope (general description): Use the field below to describe the duties, review responsibilities, confidentiality expectations and required deliverables.

Employment History

Employer 1

Employer 2

Education

References

Reference 1

Reference 2

Reference 3

Legal Disclosures and Policies

At-Will Employment Statement: Where the panelist is engaged as an employee, either party may terminate employment at any time, with or without cause or notice, except as otherwise provided in this Agreement.

Equal Opportunity: Employer maintains a policy of equal employment opportunity. Selection and treatment of panelists will be based on qualifications and merit without unlawful discrimination.

Acknowledgement: I acknowledge the At-Will statement. I acknowledge the EEO statement.

Background Checks, References and Authorization

The panelist authorizes Employer to contact listed references and prior employers and to obtain background, criminal, and employment verification checks where permitted by law. The panelist warrants that the information provided in this Agreement is true and complete.

I authorize background checks and contact with prior employers and references.

Confidentiality and Candidate Privacy

The panelist will maintain strict confidentiality with respect to candidate identities, application materials, scoring sheets, deliberations and all non-public information acquired in connection with panel duties. Confidential materials remain Employer property.

Conflict of Interest

The panelist must disclose any actual, potential or perceived conflict of interest prior to participation in any panel. If a conflict exists, the panelist may be recused from consideration of particular candidates or matters.

No known conflicts to disclose. I have a potential conflict and have described it below.

Expenses, Payment and Records

Reimbursable expenses must be pre-approved and submitted with receipts in accordance with Employer policy. Payment terms, frequency, and invoicing requirements are set out below or attached as an exhibit.

Intellectual Property and Work Product

All work products, evaluations, scoring templates and materials prepared for or delivered to Employer in connection with panel duties are the sole property of Employer. The panelist assigns all rights in such work product to Employer.

I acknowledge and agree to the assignment of work product.

Indemnification and Liability

The panelist agrees to indemnify and hold Employer harmless from liabilities directly resulting from the panelist's gross negligence, willful misconduct, or material breach of this Agreement. Employer's liability for any claim arising under this Agreement shall be limited as permitted by law.

Governing Law and Venue

This Agreement is governed by the laws of the state identified below without regard to conflict of law principles. Any dispute arising hereunder will be resolved in the courts located in the selected jurisdiction.

Notices

Employer Contact for Notices

Panelist Contact for Notices

Applicant Certification and Authorization

I certify that all information provided in this Agreement and accompanying materials is true and complete. I understand that false statements or omissions may constitute grounds for termination or rescission of this Agreement.

I certify that the foregoing is true and complete and authorize the actions described above.

Additional Terms and Amendments

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