HR Professional Flex Professionals Document

HR Professional Flex Professionals Document

Personal Information

Position Information

Position Title:    Department:

Reporting Manager:    Proposed Start Date:

Full-time    Part-time    Temporary    Independent Contractor    Flex / On-call

Exempt    Nonexempt

Compensation & Schedule

Standard Hours per Week:    Overtime Eligible:

Duties & Responsibilities

Employment History

Employer 1

Employer 2

Education

References

Reference 1

Reference 2

Reference 3

Legal Disclosures & Authorizations

At-Will Employment: I understand that employment (or engagement) with the Employer is at-will and that either the Employer or I may terminate the relationship at any time, with or without cause or notice, unless a separate written agreement signed by authorized representatives states otherwise.

Equal Employment Opportunity: The Employer provides equal employment opportunity and does not unlawfully discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, or any other protected characteristic.

Confidentiality and Proprietary Information: I acknowledge that during my engagement I may receive or create confidential or proprietary information. I agree to maintain such information in confidence and not to use or disclose it except as required to perform duties for the Employer. I understand that this obligation continues after termination of engagement.

Background Check and Verification Authorization: I authorize the Employer and its agents to verify information provided in this document and to obtain consumer reports, criminal record checks, and employment verification as permitted by law. I understand offers may be contingent upon satisfactory background screening.

Drug and Alcohol Testing: As a condition of employment for certain assignments, I may be required to submit to drug and/or alcohol testing. Refusal to consent to required testing may result in withdrawal of the offer or termination of assignment.

Immigration and Right to Work: I attest under penalty of perjury that I am legally authorized to work in the country where the assignment will take place and that I will cooperate with the Employer in providing documentation required to verify my identity and authorization to work.

Consent to Contact References and Previous Employers: I authorize the Employer to contact the references and prior employers listed in this form and to discuss my qualifications, performance, and work history.

I acknowledge the At-Will Employment statement above.

I authorize background checks, reference checks, and verification of information as described above.

I understand and consent to drug and alcohol testing if required for assignment.

Applicant Certification

I certify that all information provided in this document is true, complete and accurate to the best of my knowledge. I understand that misrepresentations or omissions may be cause for denial of employment or immediate termination of employment if discovered at a later date. I authorize the release of information to the Employer for purposes of evaluating my application and performing ongoing employment-related checks.

I also acknowledge that I have read and agree to the Confidentiality and Proprietary Information clause and the Background Check and Verification Authorization above.

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