• APPLICATION FOR EMPLOYMENT

    STRATUM HR - AN EQUAL OPPORTUNITY EMPLOYER
  • STATE & FEDERAL LAW PROHIBITS DISCRIMINATION BASED ON AGE, CONVICTION HISTORY, GENDER, RELIGION OR NATIONAL ORIGIN

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  • EDUCATION

  • WORK HISTORY

  • COMPANY POLICY AGAINST HARASSMENT

  • Our company is committed to providing a place of employment that is free of all forms of unlawful harassment. Harassment, including sexual harassment, of one employee by another employee of by a supervisor is prohibited byboth state and federal law. The purpose of this policy is to assure that no form of harassment occurs at our company. This harassment policy includes, but it is not limited to, harassment based on a person’s race nationality, gender, religion, physical or mental disability age, marital status, and or sexual orientation. We will not tolerate any kind of unlawful harassment, particularly sexual harassment, by any of its employees. Management fully intends to abide by the law, and supervisors will take firm disciplinary action according to policy. This policy suggests that discriminatory behavior can lead to dismissal, criminal suits and or civil suits. Therefore, one cannot claim ignorance to the outcome of intentional or unintentional discriminatory behavior. Measures will always be taken to protect those who complain about harassment from any further acts of harassment, coercion, or intimidation, and from retaliationdue to their reporting an incident of this type or participating in an investigation or proceeding concerning the alleged harassment. The company will also attempt to prevent or eliminate sexual harassment by non-employees, whenit is brought to our attention, including customers, clients, suppliers, drivers, and anyone else who is likely to have contact with our employees. I will also comply to provide within 30 Calender Days of my employment a Passing Certification of Sexual Harassment Prevention Training to be in compliance with SB 1343 provided by the Department of Fair Employment and Housing’s online training course.

  • NON DISCLOSURE,CONFIDENTIALITY & ARBITRATION AGREEMENT

  • By signing below I agree with all guidelines and procedures that have been addressed. This acknowledgement also signifies that STRATUM HR has provided me with the tools I need to be safe and alert in my work environment. During your employment at any of our offices or at Client facilities we service and any time thereafter, applicant is restricted from utilizing, disclosing, disseminating any confidential information from this company or any of its clients or prospective clients. Confidential Information includes but is not limited to the following: Personnel records, formulas, patterns, devices, processes, compilations, records, specifications, financial data, manner of operation, customer/client lists, costing procedures, custom application source code, custom scripts, website graphic design, web design content, agreements and contracts with content aggregators, web page source code, network design and topology, agreements and understandings of contracts with third party vendors, information concerning union relationships, system integration, customer billing, customer support, inventions, discoveries, concepts, ideas, information and improvements, either patentable or not, plus any other information deemed proprietary to this company or serviced by this company. This Agreement to Arbitrate Claims is for the purpose of resolving claims by arbitration and is mutually binding upon me and thiscompany unless otherwise agreed to in writing. I agree to arbitrate and resolve any dispute, claim, or controversy. In exchange, this Company also agrees to arbitrate any Claims they may have against me. I agree that this Agreement applies to any Claim that occurred before or after this Agreement took effect. I understand and agree that the consideration for this Agreement is the mutual obligation to arbitrate between this Company and myself in addition to my employment, or continued employment. Claims include all disputes not prohibited by law from arbitration, including statutory and common law claims, whether under state, federal, or local law, including, but not limited to, theories arising under breach of implied or express contract; implied covenant of good faith and fair dealing; constructive discharge; wrongful discharge; negligence; gross negligence; defamation; false imprisonment; worker’s compensation retaliation; intentional infliction of emotional distress; misrepresentation; personal injury; wage and hour claims; claims arising from work-related activities; unsafe workplace; unlawful discrimination, retaliation, or harassment; sexual harassment; violations ofTitle VII of the Civil Rights Act, as amended; Age Discrimination in Employment Act (ADEA); Americans with Disabilities Act (ADA); Fair Labor Standards Act (FLSA); Industrial Wage Orders; or any other dispute between the Parties. Claims under the National Labor Relations Act are expressly not covered by this Agreement. Preliminarv Injunctive Relief: Nothing in this Agreement affects the Parties’ entitlement to preliminary injunctive relief pending the outcome of the arbitration procedure regarding any Claims between the Parties. A request for preliminary injunctive relief shall not be deemed incompatible with, nor a waiver of, the requirement to arbitrate claims between the Parties. The Parties agree that the Claims shall be finally decided by arbitration administered by the American Arbitration Association (AAA) pursuant to its Employment Arbitration Rules & Mediation Procedures and subject to any minimum standards of procedural fairness or due process recognized by AAA. In the event that AAA is unable or unwilling to hear the case, alternate arbitrators may be selected by AAA or a similar group. I have being provided with a copy of the AAA Employment Arbitration Rules & Mediation Procedures in conjunction with this Agreement and I have been made aware that I maintain obtain additional copies either from the Human Resources office. In consideration for the mutual promises contained in this Agreement, and employees’ continued employment with Employer, the Parties agree that neither shall have the right to: (a) Arbitrate any Claim on a class or collective action basis or in a purported representative capacity on behalf of any fellow employees, contractors, or anyone similarly situated; (b) Join or to consolidate in any arbitration Claims brought by or against the Parties, unless otherwise agreed to in writing by all Parties; (c) Litigate any Claims in court or to have a jury trial on any Claims; and (d) Participate in a representative capacity or as a member of any class of claimants in an action in a court of law pertaining to any Claims. Should any portion of this Agreement be declared or be determined by any court or tribunal of competent jurisdiction to be illegal or invalid, the validity of the remaining parts, terms, or provisions shall not be affected thereby and shall remain in full force and effect, and said illegal or invalid part, term, or provision, shall be deemed not to be a part of this Agreement to the most limited extent necessary to make all of the remaining terms and provisions enforceable. BY MY SIGNATURE

    BELOW, I ALSO ACKNOWLEDGE THAT I WILL FOLLOW TO THE FULLEST THE EMPLOYMENT ARBITRATION RULES AND MEDIATION PROCEDURES.

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  • Background Check Disclosure & Authorization Form

  • The information contained in this application is correct to the best of my knowledge. I hereby authorize STRATUM HR and its designated agents and representatives to conduct a comprehensive review of my background causing a consumer report and/or an investigative consumer report to be generated for employment and/or volunteer purposes. I understand that the scope of the consumer report/ investigative consumer report may include, but is not limited to the following areas: verification of social security number; credit reports, current and previous residences; employment history, education background, character references; drug testing, civil and criminal history records from any criminal justice agency in any or all federal, state, county jurisdictions; driving records, birth records, and any other public records.
    I further authorize any individual, company, firm, corporation, or public agency to divulge any and all information, verbal or written, pertaining to me, to or its agents. I further authorize the complete release of any records or data pertaining to me which the individual, company, firm, corporation, or public agency may have, to include information or data received from other sources. STRATUM HR and its designated agents and representatives shall maintain all information received from this authorization in a confidential manner in order to protect the applicants personal information, including, but not limited to, addresses, social security numbers, and dates of birth.

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  • Meal Break Waiver Agreement Form

  • I agree to waive meal periods as follows:

    First Meal Period

    I understand that I am entitled to an unpaid meal break of not less than 30 minutes for every five (5) hour period of time worked. However, I understand that I can waive the meal period when my total day’s work will be complete within a work period of not more than six (6) hours. Accordingly, I agree to waive the meal period whenever my total day’s work will be completed within a work period of not more than six (6) hours.

    Second Meal Period

    I understand that I am entitled to a second unpaid meal break of not less than 30 minutes if I work more than ten (10) hours during a work day. However, I understand that I can waive the second meal period when my total day’s work will be completed within a work period of not more than twelve (12) hours, as long as I did not waive the first meal period.

    Accordingly, I agree to waive the second meal period whenever my total day’s work will be completed within a work period of not more than twelve (12) hours, as long as I did not waive the first meal period.

    I enter into this agreement freely and voluntarily. I understand that this agreement can be revoked in writing by either me or the university at any time.

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  • W-4 2021 Employee’s Withholding Certificate

    Department of the Treasury Internal Revenue Service
  • Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. Give Form W-4 to your employer. Your withholding is subject to review by the IRS.

  • Please choose your current status :
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  • DE-4 EMPLOYEE’S WITHHOLDING ALLOWANCE CERTIFICATE

    Complete this form so that your employer can withhold the correct California state income tax from your paycheck.
  • Please choose your current filing status :
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  • 12.0 Acknowledgment of Receipt and Review

    12.1 Acknowledgment of Receipt and Review

    By signing below, I acknowledge that I have read a copy of the STRATUM HR Employee Handbook (handbook) at my own free will located at the office, onsite office, or satellite office, understand it, and agree to comply with it. I understand that the Company has the maximum discretion permitted by law to interpret, administer, change, modify, or delete the rules, regulations, procedures, and benefits contained in the handbook at any time with or without notice. No statement or representation by a supervisor, manager, or any other employee, whether oral or written, can supplement or modify this handbook. Changes can only be made if approved in writing by the Company. I also understand that any delay or failure by the Company to enforce any rule, regulation, or procedure contained in the handbook does not constitute a waiver on behalf of the Company or effect the right of the Company to enforce such rule, regulation, or procedure in the future.

    I understand that neither this handbook nor any other communication by a management representative or other, whether oral or written, is intended in any way to create a contract of employment. I further understand that, unless I have a written employment agreement or offer letter signed by an authorized Company representative, with a Company Letter Head, in detail with my job role, responsibilites, expetations, benefits, performance reviews, non compete outlines, and signature, and states “Offer of Employment” I am employed “at-will” and this handbook does not modify my “at-will” employment status, and can be terminated based on CA Labor Code section 2922 “An employment, having no specific term, may be terminated at the will of either party on notice to the other”. In reference that the employment relation can be terminated by either party at any time, with or without cause, and with or without advance notice.

    If I have any questions about the content or interpretation of this handbook, I will contact my STRATUM HR Representative.

  • Coronavirus (COVID-19) Guidance & Awareness for Employees

  • Exposure to COVID-19 is an inherent risk in any public location where people are present: we cannot guarantee you will not be exposed during your time of employment. People who show no symptoms can spread COVID-19 is they are infected, any interaction with the general public poses an elevated risk of being exposed to COVID-19, and we cannot guarantee that you will not be exposed during your time of employment.

    As safety is always first, I acknowledge that I will follow in accordance with CDC guidelines to the best of my abilities while at my employment and will maintain my face covering at all times as required by California Department of Public Health, Inside of, or in line to enter, any indoor public space, Engaged in work, whether at the workplace or performing work off-site, when: Interacting in-person with any member of the public; Working in any space visited by members of the public, regardless of whether anyone from the public is present at the time; Working in any space where food is prepared or packaged for sale or distribution to others; Working in or walking through common areas, such as hallways, stairways, elevators, and parking facilities; In any room or enclosed area where other people are present when unable to physically distance; While outdoors in public spaces when maintaining a physical distance of 6 feet from persons who are not members of the same household or residence is not feasible.

    Note: Persons exempted from wearing a face covering due to a medical condition who are employed in a job involving regular contact with others should wear a non-restrictive alternative, such as a face shield with a drape on the bottom edge, as long as their condition permits it.

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  • Please Enter Your Final COVID-19 Vaccination Date
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  • Employee Eligibility Verification

    USCIS I-9 Form
  • Date of Birth
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  • I attest, under penalty of perjury, that I am (check one of the following boxes) :
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