HR Compliance Package

HR Compliance Package

Employer Name:    Employee Name:

Personal Information

Position Information

Anticipated Start Date:    Annual Salary / Rate:

Employment Status: Full-time    Part-time    Temporary/Contract

Employment History (Most Recent)

From:    To:

Employment History (Previous)

From:    To:

Education

Graduation Date:

Professional References

Policy Acknowledgments & Consents

I acknowledge receipt of and agree to comply with the following policies. I understand that violation of these policies may result in disciplinary action up to and including termination.

Employee Handbook (receipt and review)

Confidentiality & Proprietary Information Policy

Code of Conduct & Conflict of Interest Policy

Data Security and Acceptable Use Policy

Health, Safety and Workplace Violence Prevention Policy

Legal Disclosures

At-Will Employment: The employment relationship is at-will unless modified by a written agreement signed by an authorized representative of the Employer. Either the Employer or Employee may terminate the employment relationship at any time, with or without cause and with or without notice, subject only to applicable statutory limitations.

Equal Employment Opportunity: The Employer 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 other protected characteristic as defined by applicable law.

Confidentiality and Inventions: As a condition of employment, Employee agrees to protect confidential information and to disclose and assign to Employer all original works, inventions, discoveries, improvements, and trade secrets developed during the period of employment to the extent required by Employer policy or applicable law.

Authorization & Background Checks

I authorize the Employer and its agents to verify the information I have provided, to contact references and former employers, and to conduct background checks, which may include consumer report(s) and criminal history, where permitted by law. I understand that any offer of employment may be conditioned upon the Employer’s receipt of satisfactory results from such checks.

I consent to background and reference checks as described above.

I consent to drug and alcohol testing in accordance with Company policy.

Applicant Certification

I certify that all information provided in this HR Compliance Package is true, accurate, and complete to the best of my knowledge. I understand that omission of information or false statements may result in revocation of any offer or termination of employment. I authorize the Employer to rely on this certification in making employment decisions.

I further acknowledge that I have read and understand the statements above and that I have been given the opportunity to ask questions about Employer policies and the employment relationship.

Background Information — Disclosure

Yes    No

Certification of Eligibility to Work

By signing below, I certify, under penalty of perjury, that I am legally authorized to work in the country of employment and that I will provide documentation as required by law. I understand that employment is contingent upon verification of work authorization where required.

I authorize the Employer to contact third parties as necessary to verify my eligibility and the information contained in this form.

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