Acknowledgment and Signature

If you have any questions about the above Sexual Harassment Policy, address them to the human resources director before signing the following agreement.

I have read the Company’s Sexual Harassment Policy and agree to abide by it. I understand that violation of any of the above policies and procedures may result in discipline, up to and including my termination.

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User Name

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User Signature

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Date

2004, Nancy Flynn, The ePolicy Institute, www.ePolicyInstitute.com. For informational purposes only. No reliance should be placed on this without the advice of counsel. Individual e-mail and instant messaging policies should be developed with assistance from competent legal counsel.