Staff Acknowledgements

The below acknowledgements are to be completed on an annual basis. If you have any questions, please reach out to the Director of Operations.

Step 1 of 4

Employee Information

Name(Required)

First Last

Title/Position(Required)

Staff Email Address (lymphoma.org)(Required)

Enter Email Confirm Email

Employee Handbook Acknowledgement

This Employee Handbook is an important document intended to help employees become acquainted with Lymphoma Research Foundation. This document is intended to provide guidelines and general descriptions only; it is not the final word in all cases. Individual circumstances may call for individual attention. Because the Foundation’s operations may change, the contents of this Handbook may be changed at any time, with or without notice, in an individual case or generally, at the sole discretion of management. Please review the employee handbook appropriate for your worked-in location, read the following statements, and sign below to indicate your receipt and acknowledgment of this Handbook.

Please select a handbook to acknowledge:(Required)

Employee Handbook – Multi State

Employee Handbook – California

Handbook 1(Required)

I have received and read a copy of Lymphoma Research Foundation’s Employees Handbook. I understand that the policies, rules and benefits described in it are subject to change at the sole discretion of the Foundation at any time.

Handbook 2(Required)

I further understand that my employment is terminable at will, either by myself or the Foundation, with or without cause or notice, regardless of the length of my employment or the granting of benefits of any kind.

Handbook 3(Required)

I understand that no representative of Lymphoma Research Foundation other than the CEO may alter “at will” status and any such modification must be in a signed writing.

Handbook 4(Required)

I understand that by checking this box, I am indicating that I have read and understand the above statements and that I have received a copy of the Foundation’s Employee Handbook.

Date Acknowledged(Required)

Receipt of Non-Harassment Policy

Employee Handbook – Multi State

Employee Handbook – California

Non-Harassment

I have read and I understand the Lymphoma Research Foundation’s Non-Harassment Policy.

Date Acknowledged(Required)

Conflict of Interest Acknowledgement

All employees of the Lymphoma Research Foundation (the Foundation) are asked to review the attached Conflict of Interest Policy (COI) on an annual basis and complete this COI Disclosure Form. If circumstances change and you need to update this form before next year, please contact the Associate Director of Operations directly.

Conflict of Interest Policy

Conflict of Interest(Required)

I have read the Lymphoma Research Foundation Conflict of Interest Policy and have answered the questions set forth below to inform the agency of potential conflicts of interest created by my own or my family’s business activities and financial interests.

Do you currently hold any position as an employee, officer, director, trustee, partner, or joint venture with any other charitable or business entity?(Required)

If yes, please explain:(Required)

Do you or any members of your family have a personal relationship or interest, as defined in the Lymphoma Research Foundation Conflict of Interest Policy? Please refer to examples below.(Required)

Examples: Ownership of capital stock, partnerships, or other proprietary rights; Ownership of notes, bonds, or other claims as a creditor; or A direct or indirect beneficial interest through a trust, nominee, or other relationship, including employment of: An entity or enterprise which sells goods or services to the Lymphoma Research Foundation in amounts exceeding $5,000; An entity or enterprise in which assets of the Lymphoma Research Foundation are deposited or invested; or An entity or enterprise which has sought or is seeking any other business connection with the Lymphoma Research Foundation.

If yes, please explain:(Required)

Do you know of any other situations that should be disclosed in light of the principles contained in the Lymphoma Research Foundation Conflict of Interest Policy?(Required)

If yes, please explain:(Required)

Date Acknowledged(Required)