HR Signature Pages

HR SIGNATURE PAGES

Personal Information

Position Information

Employment History

Provide your two most recent prior employers. List dates in MM/YYYY format and describe duties and reason for separation.

Education

Professional References

List three professional references who can attest to your work performance and character.

Legal Disclosures and Authorizations

At-Will Employment: Employment with the Employer is at-will. Either the Employee or the Employer may terminate the employment relationship at any time, with or without cause or notice, except as otherwise provided by law or a signed written agreement executed by both parties.

I acknowledge and accept the At-Will Employment statement.

Equal Employment Opportunity: The Employer provides equal employment opportunity to all applicants and employees without regard to protected characteristics as defined by applicable law. Employment decisions are based on business needs, job requirements and individual qualifications.

I have read and understand the Equal Employment Opportunity statement.

Authorization to Contact and Background Checks: I authorize the Employer and its agents to contact my past employers, educational institutions, references and other third parties to verify the information provided and to obtain a consumer report, investigative consumer report, criminal history, motor vehicle record, or other background investigation as permitted by law. I understand that any offer of employment is conditional upon satisfactory completion of required background checks and verifications.

I consent to background checks and verifications as described above.

Drug and Alcohol Testing: Where permitted by law and as a condition of employment, I consent to pre-employment and reasonable suspicion or post-incident drug and alcohol testing. Refusal to submit to testing, or a confirmed positive result, may result in withdrawal of an offer or termination of employment.

I consent to drug and alcohol testing as required.

Confidentiality and Invention Assignment: Employee agrees that confidential information, trade secrets and proprietary business information obtained during employment are the property of the Employer. Employee will promptly disclose and assign to Employer any inventions, discoveries or works created during the period of employment that relate to the Employer's business or result from use of Employer resources, as permitted by law.

I acknowledge the Confidentiality and Invention Assignment obligations set forth above.

Employee Handbook Acknowledgment: I acknowledge receipt of the Employer's policies and employee handbook. I understand that the handbook contains important information about the Employer's policies, and that I should consult my supervisor or Human Resources for questions not answered in the handbook. I understand that the handbook may be amended from time to time.

I acknowledge receipt of the Employee Handbook and agree to abide by its policies.

Applicant Certification and Authorization

By signing below, I certify under penalty of perjury that all information provided on this form and any attachments is true, correct and complete to the best of my knowledge. I understand that any material misrepresentation, falsification or omission may result in withdrawal of an offer or termination of employment. I authorize the release of employment-related information to the Employer and hold such parties harmless for providing truthful information in response to Employer inquiries.

I certify that all information provided is true and complete.

Optional Comments

Agreement Acceptance

The parties acknowledge and agree that this document sets forth certain acknowledgments, authorizations and agreements between the Employee and the Employer. The parties further acknowledge that an offer of employment, hiring decision, or continued employment is subject to the terms contained herein and any separate written employment agreement executed by both parties.

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