Employee’s Certification. Employee HEREBY CERTIFIES THAT:
(A) EMPLOYEE RECEIVED A COPY OF THIS AGREEMENT AND THE EMPLOYMENT AGREEMENT FOR REVIEW AND STUDY BEFORE HE/SHE WAS ASKED TO EXECUTE THEM;
(B) EMPLOYEE HAS READ SUCH AGREEMENTS CAREFULLY;
(C) EMPLOYEE HAS HAD SUFFICIENT OPPORTUNITY BEFORE HE/SHE EXECUTED SUCH AGREEMENTS TO ASK QUESTIONS ABOUT NOT ONLY COMPANY, BUT ALSO THE PROVISIONS OF SUCH AGREEMENTS AND THAT IF HE/SHE ASKED SUCH QUESTIONS HE/SHE RECEIVED COMPLETE AND SATISFACTORY ANSWERS TO SAME;
(D) EMPLOYEE HAS BEEN AFFORDED THE OPPORTUNITY TO DISCUSS AND REVIEW THIS AGREEMENT AND THE EMPLOYMENT AGREEMENT WITH AN ATTORNEY OF HIS/HER CHOICE;
(E) EMPLOYEE UNDERSTANDS WHAT HIS/HER RIGHTS ARE UNDER THE AGREEMENTS AS WELL AS HIS/HER OBLIGATIONS, ESPECIALLY THE ANCILLARY COVENANTS; AND
(F) EMPLOYEE HAS READ AND UNDERSTANDS EACH AND EVERY PROVISION OF THE AGREEMENTS AND DOES HEREBY ACCEPT AND AGREE TO THE SAME.
Employee’s Certification. I certify that all of the statements made by me in this application for paid benefits by my publicly funded employer are true and complete to the best of my knowledge and belief and that such statements have been honestly presented. I understand that providing any false or misleading information on this application shall be fully sufficient grounds to refuse to grant sick bank days to me, or, if such days have already been provided to me, to discipline me in accordance with the collective bargaining agreement and/or Maine law. Signature: Print Name: Date: (This form should be used only if there is not a current FMLA/FML medical certification on file covering the request for sick leave bank.)
Employee’s Certification. Employee to perform services as (mark one): Name Chaplain Fireman ___Dentist Registered Nurse Licensed Practical Nurse Social Security # L icensed Physician Psychologist Employed by Certified Oral or Manual Interpreter for Deaf Person Employee’s Signature Teacher or Instructor of an evening or night course or program Date Professional holding a doctoral or masters degree from an accredited college or university
Employee’s Certification. Employee to perform services as (xxxx one) ; NAME: Chaplain Fireman Dental SOCIAL SECURITY # Certified Oral or Manual Interpreter for Deaf Process EMPLOYED BY Teacher or Instructor of an evening or night course or program EMPLOYEE’S SIGNATURE Professional holding Doctoral or Masters Degree from an accredited DATE College or University
Employee’s Certification. I certify that on , I will/did take hours of leave for the following purpose: Employee’s Name: Date: _
Employee’s Certification. I certify that I have read this entire agreement, or to the best of my knowledge, information and belief (if applicable) this agreement has been read to me, and I understand all the contents of this agreement as well as the full legal significance and consequences of entering into this agreement to compromise and release my workers’ compensation benefits under the Pennsylvania Workers’ Compensation Act only.
Employee’s Certification. I certify that on I will/did take hours of leave for the following purpose: elder’s care. Name: Date:
Employee’s Certification. Employee hereby certifies receipt of a copy of this Agreement and certifies that the contents hereof are understood by Employee. Employee certifies that this Agreement fairly represents the agreement reached between the parties.
Employee’s Certification of Truth and Accuracy of Materials and Representations. Employee does hereby certify and declare that Employee’s application materials, including but not limited to resumes and curriculum vitae submitted in support of candidacy for employment are a true and accurate representation of Employee’s education, credentials, qualifications, experience, and background and acknowledges that falsification of employment applications or documents submitted to the NSHE, or making other false or fraudulent representations in securing employment is prohibited. Falsification or misrepresentation of education, credentials, qualifications, experience, or background and/or evidence that degrees offered in support of candidacy for employment have been issued from non-accredited institutions, in Employer’s sole and absolute discretion, invalidates the employment contract and voids this Agreement and results in immediate termination for cause.
Employee’s Certification. I certify that all of the statements made by me in this application for paid benefits by my publicly funded employer are true and complete to the best of my knowledge and belief and that such statements have been honestly presented. I understand that providing any false or misleading information on this application shall be fully sufficient grounds to refuse to grant sick bank days to me, or, if such days have already been provided to me, to discipline me in accordance with the collective bargaining agreement and/or Maine law. Signature: Print Name: Date: (This form should be used only if a current FMLA/FML medical certification form does not exist on file.)
