EMPLOYMENT APPLICATION ADDENDUM:
LEGAL
Name
/Date (mm/dd/yy)
Attorney Background (Attorneys only complete these questions.)
Has your license to practice law ever been suspended or revoked in any jurisdiction? / Yes NoHave you ever been censured, disbarred, fined or otherwise disciplined by any State Grievance Committee or any similar legal oversight entity? / Yes No
Have you ever been found responsible for malpractice in any state? / Yes No
Are there any actions pending against you at the present time for legal malpractice? / Yes No
Are there any actions pending against you at the present time for fraud or moral turpitude? / Yes No
If you answered Yes to any of the questions above, please explain completely:
Agreement
I agree that, with regard to any temporary positions I accept, the following apply:
· I understand that there will be no malpractice insurance provided, nor liability assumed, indemnified, or defended against on my behalf by Kelly Services for work I perform while in this position.
· The financial arrangements between myself and Kelly Services are confidential; likewise, the financial arrangements between Kelly Services and the customer are confidential. I will honor and respect the confidentiality of both relationships.
· I agree to keep any and all information, materials, files, etc. gathered during this position strictly confidential. I agree not to remove materials, files, equipment, etc. from the customer’s premises without express permission and will return all materials immediately upon termination of the position.
· I agree to advise Kelly Services of any conflicts of interest as soon as they are discovered.
· As an attorney, I am bound by the Code of Professional Conduct including, but by no means limited to, my obligation to preserve customer and client confidences and my obligation to refuse positions involving conflicts of interest.
· As a paralegal, I am obligated to preserve customer and client confidences and to refuse positions involving conflicts of interest. In addition, I cannot give legal advice to the customer or their clients, and my work for the customer must be delegated and supervised by an attorney.
Truthfulness of Information
All of the information provided by me in support of my application for employment is true and complete. Any false, misrepresented, or omitted information may result in ineligibility for hire, discipline, or termination of assignment or employment. I authorize Kelly to verify all information using all sources provided on this Employment Application Addendum, and I release all parties from all liability resulting from the use of information obtained.
I have read the above statement agreement, I understand it, and I agree to its terms.
Name (Printed)
Signature Date
Electronic Signature* Date
*If you are submitting this form electronically, type your name on the signature line and check the box next to “I agree.” This is your electronic signature. By electronically signing this form, you agree that you have reviewed this entire form and agree to all the terms contained in it. / I agreeã 2007 Kelly Services, Inc. e4883 10/07