HR Signature Packet

HR SIGNATURE PACKET

Employer Identification

Employer Name:

Human Resources Representative:

Personal Information

Position Information

Anticipated Start Date:

Full-time    Part-time    Contractor    Temporary

Employment History (Most Recent First)

Education

Professional References

Legal Disclosures and Acknowledgments

At-Will Employment: I acknowledge and understand that employment with the Employer is at-will and that 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 expressly states otherwise.

I acknowledge the At-Will Employment statement above.

Equal Employment Opportunity: The Employer is an equal opportunity employer. Hiring and employment decisions are made without regard to protected characteristics as defined by applicable law. Reasonable accommodations will be considered for qualified individuals as required by law.

I acknowledge the Equal Employment Opportunity statement above.

Confidentiality and Company Property: I understand that I may be given access to proprietary, confidential, or trade secret information. I agree to preserve the confidentiality of all such information and to return all company property and records upon request or upon termination of employment.

I acknowledge the Confidentiality and Company Property statement above.

Applicant Certification and Authorization

I certify that the information provided in this packet is true, complete, and correct to the best of my knowledge. I understand that any omission, misstatement, or falsification of information may be grounds for refusal of employment or, if employed, disciplinary action up to and including termination.

Authorization to Verify: I authorize the Employer and its agents to investigate and verify all statements and representations made in this packet, including contacting prior employers and references, verifying education and professional credentials, and obtaining criminal, motor vehicle, and other background checks where permitted by law. I release previous employers, education providers, references, and the Employer from liability for any information provided in good faith during such verifications.

Background Checks and Drug Testing: I consent to any lawful background checks and pre-employment or reasonable suspicion drug and alcohol screening required by the Employer as a condition of employment, subject to applicable law.

I consent to background checks as described above.    I consent to drug and alcohol screening as described above.

Emergency Contact

Applicant Certification (Signature Required)

By signing below I certify that I have read and understood each statement in this packet, that I have provided accurate information to the best of my knowledge, and that I voluntarily authorize the verifications and consents indicated above. I understand that this document is part of my personnel file if employment is offered or accepted.

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