Please Read the Handbook and then complete the form below

I hereby acknowledge receiving a copy of the Agency’s Handbook.

I have had the opportunity to ask questions about the policies.  As a condition of my employment with the Agency, I agree to comply with all the rules and procedures of the Agency, as stated in this Handbook and any other document that may be issued to me during my employment, including the FAIR AGREEMENT.

I understand that the Agency has the maximum discretion permitted by law to interpret, administer, add to, change, or delete provisions in this Manual and Handbook at any time.

Additionally, I acknowledge that no promise of job security has heretofore been given to me and that there are no such promises contained in the Handbook since I am employed AT WILL and may resign at any time or be fired from my job at any time, with or without notice and with or without cause.

I have read and I understand the company’s policy Prohibiting Workplace Harassment.

I have read and I understand the company’s Compliance Manual.

I have read and I understand the company’s Lactation Policy.

I attended training for Preventing Harassment in the Workplace.

I attended training for Safety in the Workplace.

Employee's Name:    Email address: