HR People Analyzer Form

HR PEOPLE ANALYZER FORM

Personal Information

Position Information

Proposed/Actual Start Date:

Full-time    Part-time    Contractor    Intern

Employment History (Most Recent)

Dates Employed:

Employment History (Previous)

Dates Employed:

Education

Graduation Date:

Professional References

People Analyzer — Assessment

Core Values Alignment (1-5):

Job Fit (skill match) (1-5):

Performance / Results (1-5):

Cultural Fit & Teamwork (1-5):

Coachability / Growth Mindset (1-5):

Potential / Readiness for Promotion (1-5):

Recommendation

Please select the recommended action:

No action    Performance Improvement Plan    Promotion    Transfer    Termination

Development Plan / Actions

Legal Disclosures & Authorizations

At-Will Employment Statement: Employment with the organization is at-will unless otherwise documented in a signed agreement executed by an authorized company officer. Either the employee or the company may terminate the employment relationship at any time, with or without cause or notice.

I acknowledge receipt and understanding of the At-Will Employment Statement.

Equal Employment Opportunity: The organization provides equal employment opportunity and does not discriminate on the basis of protected characteristics. Employment decisions are based on legitimate business needs, job-related qualifications, and individual performance.

I acknowledge that I have read and understand the Equal Employment Opportunity statement.

Certification and Authorization to Verify

I certify that the information in this People Analyzer Form is true and complete to the best of my knowledge. I authorize the company to verify any information provided herein, contact current and former employers, educational institutions, and references, and to conduct background, criminal, and employment verification checks where permitted by law. I understand that falsification or omission of material facts may result in disciplinary action, up to and including termination.

I certify that the information provided is accurate and authorize verification as described above.

I consent to background checks and reference checks as required for employment and ongoing employment eligibility.

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