Date:

I, the undersigned, have received a copy of the ____________ (hereinafter referred to as Company) handbook dated _____, 20 _. The Company handbook contains policies, practices, and regulations which are relevant to my employment with the company.

I have read and understood these policies, practices, and regulations. I additionally agree to comply with these policies, practices, and regulations during my employment with said Company.

I further understand that I will be responsible for complying with future changes in any such policies, practices and regulations. Whether or not I have signed or acknowledged such changes, it will be my responsibility to adhere with all such changes communicated to employees.

Signature _______________________

Undersigned - Employee

Witnessed by: ________________________

Date ________________