Employee Acknowledgement Form

EMPLOYEE ACKNOWLEDGEMENT FORM

I, , acknowledge that I have received and read the policies and provisions contained in the Lakeland Library Cooperative Employee Handbook. I understand that it is my responsibility to consult my supervisor or the Administrative Services Manager if I have any questions that are not answered in the handbook. The employee handbook describes important information about Lakeland.

I understand and acknowledge that there is no specified length to my employment at Lakeland and that my employment is at will. I understand and acknowledge that "at will" means that I may terminate my employment at any time, with or without cause or advance notice. I also understand and acknowledge that "at will" means that Lakeland may terminate my employment at any time, with or without cause or advance notice, as long as they do not violate federal or state laws.

I also understand that the provisions in this handbook are guidelines and are not intended to create, nor should be construed to create, a contract for employment or for benefits. I understand that no policies or procedures within this handbook in any way alter my at-will employment status and that no person, other than the Cooperative Board, has authority to enter into any agreement for employment contrary to the policies and procedures contained in the employee handbook. I understand that any such agreement must be in writing and signed by both an authorized representative of the Cooperative Board and myself.

I further understand that Lakeland reserves the right to add to, eliminate, or otherwise change, at any time, any of the procedures, policies, and benefits described in this handbook. I understand that any handbook changes will be communicated through official notices and that the Cooperative Board has delegated to the Cooperative Director the authority to implement and interpret this handbook, and to make necessary changes with the consent of the Board.

I understand and accept that the Problem Resolution procedure requires binding arbitration for any claim over an unlawful discharge. I further understand that Lakeland has committed to not changing this policy with regard to me while I have a grievance pending over an unlawful discharge.

I have received the handbook and I understand that it is my responsibility to read and follow the policies contained in this handbook and any changes made to it.

EMPLOYEE'S NAME (printed): _________________________________________________________

EMPLOYEE'S SIGNATURE: ________________________________________ DATE: _____________