HR Charter Receipt

HR CHARTER RECEIPT

Client Name:    Employee ID:

Received on:    Location:

Personal Information

Position Information

Employment History (Most Recent)

Employer 1 — Dates Employed: From to

Employment History (Prior)

Employer 2 — Dates Employed: From to

Education

References

Documents Received

I acknowledge receipt of the following materials provided today. Check all items received:

HR Charter (complete policy document)

Employee Handbook

Code of Conduct and Ethics

Confidentiality / NDAs (if applicable)

Benefits Summary and Enrollment Materials

Discipline and Grievance Procedures

Legal Disclosures and Acknowledgments

At-Will Employment: I understand and acknowledge that nothing in the HR Charter, employee handbook, or any other document provided hereby shall be construed to create a promise of continued employment for any definite term. Employment with the organization is at-will, which means either the employee or the employer may terminate the employment relationship at any time, with or without cause or prior notice, unless a separate written agreement signed by an authorized representative specifies otherwise.

Equal Employment Opportunity: The organization is an equal opportunity employer. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, genetic information, veteran status, or any other status protected by applicable law. Employees are expected to comply with the non-discrimination and anti-harassment policies set forth in the HR Charter.

Confidentiality and Proprietary Information: I acknowledge my obligation to protect confidential and proprietary information as described in the HR Charter and any confidentiality agreements. I understand that unauthorized disclosure of confidential information may result in disciplinary action, up to and including termination.

Reporting Obligations: I understand the procedures for reporting workplace concerns, misconduct, or violations of policy as set forth in the HR Charter and agree to follow those procedures.

Applicant Certification and Authorization

I certify that I have received, read, and understand the HR Charter and the other materials indicated above. I acknowledge that it is my responsibility to ask questions about policies or procedures I do not understand and to comply with all requirements described therein.

Authorization to Contact and Background Check: I authorize the organization to contact my current and prior employers, references, and educational institutions to verify the information I have provided and to obtain any information relevant to my employment. I further consent to any background checks and verifications permitted by law. I understand that any offer of employment may be conditioned on the results of such checks and that falsification or omission of material information may result in denial of employment or termination.

I authorize the organization to contact prior employers, references, educational institutions and to conduct lawful background checks.

I certify that all information provided on this form and in any attached materials is true, complete, and accurate to the best of my knowledge, and that I have not intentionally omitted any material information.

Additional Notes

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