(May be used with the Employment Application)
(By Applicant or Employee)

I, (name of applicant or employee), have been given a copy of the XYZ Employer Handbook dated (specify).   I have been advised and acknowledge that in the course of my employment with XYZ Employer, the Company may at any time change the policies, procedures, benefits and benefit plans contained therein with or without prior notice since nothing in the Handbook should be construed as a contract of employment or promise of continued benefits.  If I have specific questions about any statement or provision in the Handbook, I will direct them to my Supervisor or to the Personnel Department.

I acknowledge that the programs and statements outlined in the booklet are to be regarded only as guidelines, not guarantees, which the Company may, in its sole discretion, change as needed in order to manage its work force to the Company's benefit as XYZ Employer deems fit.

Additionally, I acknowledge that no promise of job security has heretofore been given to me and that there are no such promises contained in the Handbook since I am employed AT WILL and may resign at any time or be fired from my job at any time, with or without notice and with or without cause.