Job Application Acknowledgment

JOB APPLICATION ACKNOWLEDGMENT AND APPLICANT AGREEMENT

Employer Name:

Applicant Name:

Position Applied For:     Date of Application:

Recitals

WHEREAS, the Applicant has submitted information and materials for consideration for employment with the Employer and seeks to establish the terms under which the application will be processed and considered by Employer; and

WHEREAS, the Employer requires certain acknowledgments and authorizations from applicants as a condition of evaluating candidacy, including but not limited to verification of past employment, education and background screening; and

WHEREAS, the parties desire to set forth the Applicant's acknowledgments, certifications and limited contractual terms governing the application process.

Scope of Acknowledgment

The Applicant acknowledges that submission of an application and related materials creates an evaluative relationship only and does not constitute an offer of employment. Applicant understands Employer may rely on information provided and authorizes verification. Applicant further acknowledges any conditional commitments made by Employer in writing will be subject to satisfactory completion of background checks and any other pre-employment requirements identified by Employer.

Payment Terms (Application Processing and Reimbursement)

The parties acknowledge any application processing fee or candidate-incurred cost associated with assessments or background checks shall be handled as set forth below.

Term and Termination

This Acknowledgment is effective as of the Date of Application and shall remain in effect until the earlier of (a) the formal offer of employment and Applicant's acceptance; (b) withdrawal of the application by Applicant; or (c) Employer's written notification that Applicant will not be considered.

Start Date (effective date of this acknowledgement):    Anticipated End Date (if applicable):

Confidentiality and Background Checks

Applicant acknowledges that certain records and information provided during the application process may be considered Employer confidential information. Applicant agrees to maintain confidentiality of interview content, assessments and any proprietary information disclosed in the evaluation process, and not to disclose such information to third parties without Employer's prior written consent.

Applicant hereby certifies and authorizes Employer to conduct background checks, reference checks, verification of education and employment history and any other screening deemed necessary by Employer. Applicant further certifies all information supplied by Applicant is true, complete and accurate to the best of Applicant's knowledge. Misrepresentations or omissions may be grounds for withdrawal of any offer or termination if discovered after hire.

I certify that the information I have provided is true and complete.

I authorize Employer to perform background and reference checks as described above.

I agree to maintain confidentiality regarding proprietary or sensitive information disclosed during the selection process.

Governing Law

This Acknowledgment shall be governed by and construed in accordance with the laws of the jurisdiction indicated below, without regard to conflict of laws principles.

Entire Agreement

This document, together with any written attachments expressly incorporated herein, constitutes the entire agreement between Applicant and Employer with respect to the subject matter hereof and supersedes all prior oral or written representations, statements, negotiations or agreements concerning the application and evaluation process. Any amendment must be in writing and signed by Applicant and an authorized representative of Employer.

Representations and Certifications

Applicant represents and warrants that Applicant has authority to provide the information and consents in this Acknowledgment. Applicant further understands that if an offer of employment is extended, additional terms and conditions may apply and will be set forth in a separate written employment agreement or offer letter as applicable.

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