Recruitment Incentive Agreement Form

RECRUITMENT INCENTIVE AGREEMENT FORM

Parties and Contact Information

Position and Incentive Summary

Incentive Amount: payable as described below. Type of incentive: Lump-sum Installments

Vesting Requirement: Recipient must remain continuously employed with Employer for months from the start date to receive full payment. If employment terminates earlier, repayment/clawback provisions apply as set forth below.

Repayment, Clawback and Taxes

Tax Withholding and Reporting: All incentive payments are subject to applicable federal, state and local tax withholdings and will be reported on Employer-provided tax forms. Recipient is solely responsible for any personal tax obligations arising from incentive payments.

Employment History (Provide at least two employers)

Education

References (Three Professional References)

Legal Terms and Notices

Recitals: Employer desires to incentivize recruitment of talent and Recipient desires to receive the incentive subject to the terms herein. This Agreement sets forth all material terms, conditions and obligations associated with the Recruitment Incentive.

Payment Condition: Incentive payments are conditional upon satisfaction of all employment obligations, including continuous service requirements, satisfactory performance and compliance with Employer policies. Employer retains sole discretion to determine whether conditions have been met.

Clawback: If Recipient resigns or is terminated for cause before the vesting period described in this Agreement, Recipient shall repay the incentive in full or on a prorated basis as specified in the Repayment / Clawback Terms. Employer may offset any unpaid balance against final wages to the extent permitted by law.

Confidentiality: Recipient shall maintain confidentiality of incentive terms and shall not disclose incentive structure or amounts to other employees, candidates or third parties, except as required by law. Breach of confidentiality is a material breach of this Agreement.

Compliance with Policies: Recipient acknowledges receipt of and agrees to comply with all Employer policies, including but not limited to policies governing ethics, conflicts of interest, and employment conduct. Any violation may result in forfeiture or repayment of the incentive.

Governing Law and Dispute Resolution: This Agreement shall be governed by the laws of the state identified by Employer without regard to choice-of-law principles. Any dispute arising out of this Agreement shall be resolved by binding arbitration or in courts as set forth by Employer policy or agreement of the parties.

Legal Disclosures

At-Will Employment: Nothing in this Agreement alters the at-will nature of Recipient's employment unless a separate writing signed by both parties expressly states otherwise.

Equal Employment Opportunity: Employer is an equal opportunity employer. Employment and incentives are provided without regard to race, color, religion, sex, national origin, age, disability or other protected characteristic as defined by applicable law.

Authorizations and Certifications

Authorization to Contact Employers and Conduct Checks: I authorize Employer to contact my prior employers and references and to conduct background checks, credit checks where permitted, and other verifications necessary to confirm eligibility for the incentive and employment. I release employers and references from liability for providing information to Employer.

Applicant Certification: I certify that all information provided in this form is true, complete and accurate to the best of my knowledge. I understand that falsification may result in denial of incentive, discipline or termination.

Additional Provisions

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