APPENDIX A: FORMS
EMPLOYEE RECEIPT AND ACKNOWLEDGMENT OF EMPLOYEE POLICY MANUAL
   This Employee Policy Manual is an important document intended to help you become acquainted with the employee policies in the village. This Manual will serve as a guide, but is not the final word in all cases. Individual circumstances may call for individual attention. Please see your supervisor to confirm that the information is correct.
   Please read the following statements and sign below to indicate your receipt and acknowledgment of the Employee Policy Manual.
I have received a copy and understand it is my obligation to read the Employee Policy Manual. I acknowledge that the policies described in this Manual provide general information concerning the village and its employees, and that nothing in these policies creates a contract between myself and the village or represents terms and conditions of any contract between myself and the village. I understand that the policies described in the Manual are subject to change at any time the sole discretion of the village, and that I will be immediately subject to any changes.
I acknowledge that I am an at-will employee and that, as such, I have the right to terminate my employment with the village at any time. In turn, I acknowledge that the village has the right to terminate my employment at any time in its sole discretion, with or without cause.
I am aware that during the course of my employment, confidential information may be made available to me. I understand that this confidential information must not be given out or used outside the village, except as required by law.
I further understand and acknowledge that my refusal to sign this receipt and acknowledgment, a similar receipt and acknowledgment for modifications to this or any future Manual, will be grounds for immediate termination.
I understand that my signature below indicates that I have read and understand the above statements and have received a copy of the Employee Policy Manual.
______________________________________
Employee’s name (please print)
______________________________________         Date signed: _______________
Employee’s signature
______________________________________
Witness
EMPLOYEE RECEIPT AND ACKNOWLEDGMENT OF EMPLOYEE POLICY MANUAL
For Employees Subject to a Collective Bargaining Unit ONLY
   This Employee Policy Manual is an important document intended to help you become acquainted with the employee policies in the village. This Manual will serve as a guide, but is not the final word in all cases. Individual circumstances may call for individual attention. Likewise, if your position is coered by a collective bargaining agreement or uses another policy document, those policies may supercede those included in this Manual. Please see your supervisor with any questions.
Please read the following statements and sign below to indicate your receipt and acknowledgment of the Employee Policy Manual.
I have received a copy and understand it is my obligation to read the Employee Policy Manual. I acknowledge that the policies described in this Manual provide general information concerning the Village and its employees, and that nothing in these policies creates a contract between myself and the Village or represents terms and conditions of any contract between myself and the Village. I understand that the policies described in the Manual are subject to change at any time the sole discretion of the Village, and that I will be immediately subject to any changes.
I acknowledge that I am an at-will employee and that, as such, I have the right to terminate my employment with the village at any time. In turn, I acknowledge that the village has the right to terminate my employment at any time in its sole discretion, with or without cause.
I am aware that during the course of my employment, confidential information may be made available to me. I understand that this confidential information must not be given out or used outside the village, except as required by law.
I further understand and acknowledge that my refusal to sign this receipt and acknowledgment, a similar receipt and acknowledgment for any future Employee Policy Manual, or a similar receipt and acknowledgment for modifications to this or any future Manual, will be grounds for immediate termination.
I understand that my signature below indicates that I have read and understand the above statements and have received a copy of the Employee Policy Manual.
Date Signed: _________________
______________________________________
Employee’s name (please print)
______________________________________
Employee’s signature