Job Filing Application

Job Filing Application

Recitals

WHEREAS, Applicant is submitting this Job Filing Application to provide information, representations and a proposed Scope of Work for consideration by Employer in connection with potential engagement for the position identified herein; and

WHEREAS, Employer is requesting candidate filings and may engage Applicant directly or through a separate placement agreement; the parties wish to record certain terms and acknowledgments related to the filing, preliminary scope, payment framework and confidentiality protections pending any formal employment or contractor agreement.

NOW, THEREFORE, Applicant and Employer agree that submission and consideration of this filing will be governed by the terms below, which do not by themselves create an employment relationship unless and until both parties execute a separate engagement or employment contract.

Applicant Information

Desired Start Date:

Employer / Filing Recipient

Scope of Work

The parties acknowledge the preliminary description below represents the Applicant's proposed duties, responsibilities and deliverables if engaged. The final scope of any engagement will be set forth in a separate written agreement.

Payment Terms

If Applicant is engaged to perform services or employed, compensation and payment schedule shall be as follows. Absent a separate agreement specifying otherwise, Employer's obligations are limited to compensation set forth in a subsequent engagement document.

Term and Termination

The application and any preliminary engagement governed by these terms shall commence and terminate as set forth below unless earlier terminated in accordance with this Section.

Start Date:    End Date (if applicable):

Either party may terminate any subsequent engagement for material breach if the breach is not cured within the notice period specified above. Termination of the filing does not relieve either party of obligations accrued prior to termination.

Confidentiality

Applicant and Employer agree that information exchanged during the filing process that is marked confidential or that a reasonable person would understand to be confidential shall be held in strict confidence and used solely for the purpose of evaluating and performing any engagement. Confidential information shall not be disclosed except to employees, agents or advisors who have a need to know and who are bound by confidentiality obligations no less protective than those set forth herein.

  Applicant acknowledges and agrees to the confidentiality provisions above.

Background Checks and Certifications

Applicant hereby certifies that all statements and representations made in this filing are true, complete and accurate to the best of Applicant's knowledge. Applicant consents to such background checks, reference checks and verification of credentials as Employer may reasonably require as a condition of any engagement.

  Applicant consents to background and reference checks as part of the evaluation and hiring process.

Governing Law; Entire Agreement

This Job Filing Application and any interpretation or dispute arising out of it shall be governed by the laws of the State of , without regard to conflict of law rules. Venue for disputes shall lie in the appropriate state or federal courts located in that state.

This Application, together with any exhibits or attachments expressly incorporated herein, constitutes the entire agreement between Applicant and Employer with respect to the subject matter herein and supersedes all prior oral or written understandings. Any amendment or waiver must be in writing and signed by both parties.

Acknowledgment

By submitting this Job Filing Application, Applicant acknowledges that submission does not guarantee employment or engagement. Any offer of employment or contractor engagement will be conditioned upon execution of a separate written agreement and satisfaction of any pre-employment requirements.

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