Employment Application 2010

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601 McCarthy Blvd, Milpitas, CA 95035 Employment Application

www.sandisk.com

It is the policy of SanDisk Corporation (SanDisk) to provide equal employment opportunity to all applicants and
employees without regard to race, color, creed, citizenship, marital status, age, national origin, ancestry, physical or
mental disability, medical condition, sexual orientation, covered veteran status, gender, gender identity, or any other
basis protected by applicable federal, state or local law. If you need a reasonable accommodation in the application
process, please notify the person distributing or accepting this application.

PERSONAL INFORMATION
Last Name First Middle Application Date

Current Street Address Home Phone


( )
City State Zip Work Phone
( )
Previous Street Address (If less than 5 years at current address) Mobile Phone
( )
City State Zip E-mail Address

Are your related to anyone presently at SanDisk?  Yes  No Have you previously applied
for employment at SanDisk?
If yes, give name and department:
 Yes When?  No
How did you hear about this job at SanDisk? Are you at least 18 years of
age?  Yes  No
 Internet Job Board/Site
If you are under 18, will you
 Employee Referral (indicate name of employee): be able to submit a work
permit upon employment?
 Job Fair (indicate name of event):  Yes  No
 College Recruit (indicate name of event):
 Other:
Have you ever been convicted of a crime (felony or misdemeanor)? Do not disclose: Are you currently legally
▪ Convictions for marijuana-related offenses that are more than two (2) years old; authorized to work in the
▪ Information regarding referral to and participation in any pre-trial or post-trial United States?
diversion program;  Yes
▪ Convictions that have been expunged, sealed, or statutorily eradicated; or  No
▪ Misdemeanor convictions for which probation has been successfully completed or
discharged and the case has been judicially dismissed. Do you now or will you in the
Crime(s) For Which Sentence Date City State/Province future require sponsorship
You Were Convicted
for a work visa?
 Yes
 No
A conviction will not necessarily bar you from employment. However, failure to honestly
and completely answer this question (other than as described above) will result in
discontinued consideration of the application or termination of employment.
Are you an American citizen, permanent resident alien, or other “protected individual” Cuba
under the Immigration and Naturalization Act?  Yes  No Iran
If the answer to the above question is no, is your home country listed in the box on the North Korea
right?  Yes  No Syria
(Note: This information is required for purposes of compliance with the United States Export Administration Act Sudan
and Export Administration Regulations)

Position Desired Salary Desired Date Available

Are you able to perform the essential functions of the position(s) for which you are applying, with or without reasonable
accommodation?  Yes  No
Can you travel if the job requires it?  Yes  No
Can you work overtime if needed?  Yes  No
Application-U.S.-Rev. 0309
EDUCATION
Name and Location of School Years Major/Course Did You Degree or
Completed of Study Graduate? Diploma
Graduate School  Yes
 No
College/University  Yes
 No
Business/Trade/  Yes
Technical School  No
High School  Yes
 No
Other (explain)  Yes
 No
List job–related academic honors, honorary societies and professional societies:

List job-related professional material:

OTHER QUALIFICATIONS
Summarize special job-related skills and qualifications acquired from employment or other experience:

EMPLOYMENT HISTORY
List your last three employers starting with your most recent.
Company Name May we verify?  Yes  No Phone
( )
Address Dates of Employment
From:___/___ To:___/___
Name of Supervisor Title: Starting Base Pay:
Ending Base Pay:
Job Title Bonus/Commission:

Job Responsibilities Reason For Leaving:

Company Name May we verify?  Yes  No Phone


( )
Address Dates of Employment
From:___/___ To:___/___
Name of Supervisor Title: Starting Base Pay:
Ending Base Pay:
Job Title Bonus/Commission:

Job Responsibilities Reason For Leaving:

Company Name May we verify?  Yes  No Phone


( )
Address Dates of Employment
From:___/___ To:___/___
Name of Supervisor Title: Starting Base Pay:
Ending Base Pay:
Job Title Bonus/Commission:

Job Responsibilities Reason For Leaving:

REFERENCES

Application-U.S.-Rev. 0309
Name 3 business contacts having knowledge of your skill sets who we may contact as references, preferably
at least one of whom is a former supervisor or manager.
Name Company//Title Phone
1

APPLICANT’S STATEMENT

Please read carefully, initial each paragraph, and sign below. By signing below, you are certifying that
you have read, fully understand, and accept all terms of this application.

_____ 1. I hereby certify that I have not knowingly withheld any information that might adversely affect my
chances for employment and that the answers given by me are true and correct to the best of my knowledge. I
further certify that I, the undersigned applicant, have personally completed this application. I understand that any
omission or misstatement of material fact on this application or on any document used to secure employment
shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the
time elapsed before discovery.

_____ 2. I authorize SanDisk to thoroughly investigate my references, work record, education and other matters
related to my suitability for employment and, further, authorize the references I have listed to disclose to SanDisk
any and all letters, reports and other information related to my work records, without giving me prior notice of such
disclosure and hereby specifically waive any required written notification. In addition, I hereby release SanDisk,
my former employers and all other persons, corporations, partnerships and associations from any and all claims,
demands or liabilities arising out of or in any way related to such investigation or disclosure.

_____ 3. I understand and agree that the employment for which I am making application is, and is intended to be,
at-will and such employment may be terminated at any time with or without cause or advance notice, by either
myself or SanDisk. Only an executive officer of SanDisk has the authority to enter into an agreement for
employment other than at-will employment. Any such agreement must be in writing and signed by me and the
executive officer of SanDisk. No manager, supervisor or other employee of SanDisk has any authority to enter
into any agreement for employment other than employment at-will.

_____ 4. As a condition of my employment, I understand that I will be required to sign Company documents
confirming various employment policies. I further understand that any offer of employment with SanDisk will be
conditioned upon successful completion of a background investigation. Failure to consent to the background
check will be considered withdrawal of my employment application.

_____ 5. I understand that if I am hired, I will be required to provide proof of identity and legal authority to work in
the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

_____ 6. I have placed my signature in the space provided below only after I have completed the entire
application to the best of my ability and have carefully read the foregoing five (5) statements.

Signature________________________________________________ Date ________________

Application-U.S.-Rev. 0309
NOTICE REGARDING BACKGROUND INVESTIGATION

IMPORTANT -- PLEASE READ CAREFULLY BEFORE


SIGNING ACKNOWLEDGMENT

SanDisk Corporation (the “Company”) may obtain information about you from a consumer reporting
agency and an investigative consumer reporting agency for employment purposes. Thus, you may be
the subject of “consumer reports,” “consumer credit reports,” and “investigative consumer reports”
obtained for employment purposes, which may include information about your character, general
reputation, personal characteristics and mode of living, and which can involve personal interviews with
sources such as your neighbors, friends, or associates. These reports may be obtained at any time
after receipt of your authorization and, if you are hired, throughout your employment.

You have the right, upon written request made within a reasonable time after receipt of this notice, to
request disclosure of the nature and scope of an investigative consumer report.

ACKNOWLEDGMENT AND AUTHORIZATION

I acknowledge receipt of the NOTICE REGARDING BACKGROUND INVESTIGATION, the NOTICE


REGARDING BACKGROUND INVESTIGATION PURSUANT TO CALIFORNIA LAW, and the
SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT, and certify that I have
read and understand all of these forms. I hereby authorize the obtaining of “consumer reports,”
“consumer credit reports,” and “investigative consumer reports” at any time after receipt of this
authorization and, if I am hired, throughout my employment. To this end, I hereby authorize, without
reservation, any law enforcement agency, administrator, state or federal agency, institution, school or
university (public or private), information service bureau, employer or insurance company to furnish any
and all background information requested by any consumer reporting agency, consumer credit
reporting agency, or investigative consumer reporting agency acting on behalf of SanDisk Corporation.
I also agree that a facsimile (“fax”) or photocopy of this Authorization shall be as valid as the original.

 Please check this box if you would like to receive a copy of an investigative consumer
report at no charge whenever you have a right to receive such a copy under California
law, if one is obtained by the Company.

 Please check this box if you would like to receive a copy of a credit report at no charge,
if one is obtained by the Company.

Printed Name: __________________________ Social Security Number: __________________

Other Names Used: ______________________

Driver’s License Number: _____________ State: ______

Date of Birth: __________________


(DOB is for identification purposes only)

Signature: Date:

Para information en español, visite www.ftc.gov/credit o escribe a la FTC Consumer Response


Center, Room 130-A 600 Pennsylvania Ave. N. W., Washington, D. C. 20580.
Application-U.S.-Rev. 0309
A Summary of Your Rights Under the Fair Credit Reporting Act

The federal Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and privacy of
information in the files of consumer reporting agencies. There are many types of consumer reporting
agencies, including credit bureaus and specialty agencies (such as agencies that sell information about
check writing histories, medical records, and rental history records). Here is a summary of your major
rights under the FCRA. For more information, including information about additional rights, go to
www.ftc.gov/credit or write to: Consumer Response Center, Room 130-A, Federal Trade
Commission, 600 Pennsylvania Ave. N.W., Washington, D.C. 20580.

• You must be told if information in your file has been used against you. Anyone who uses
a credit report or another type of consumer report to deny your application for credit, insurance,
or employment - or to take another adverse action against you - must tell you, and must give
you the name, address, and phone number of the agency that provided the information.

• You have the right to know what is in your file. You may request and obtain all the
information about you in the files of a consumer reporting agency (your “file disclosure”). You
will be required to provide proper identification, which may include your Social Security number.
In many cases, the disclosure will be free. You are entitled to a free file disclosure if:

• a person has taken adverse action against you because of information in your
credit report;
• you are the victim of identify theft and place a fraud alert in your file;
• your file contains inaccurate information as a result of fraud;
• you are on public assistance;
• you are unemployed but expect to apply for employment within 60 days.

In addition, by September 2005 all consumers will be entitled to one free disclosure every 12
months upon request from each nationwide credit bureau and from nationwide specialty
consumer reporting agencies. See www.ftc.gov/credit for additional information.

• You have the right to ask for a credit score. Credit scores are numerical summaries of your
credit-worthiness based on information from credit bureaus. You may request a credit score
from consumer reporting agencies that create scores or distribute scores used in residential real
property loans, but you will have to pay for it. In some mortgage transactions, you will receive
credit score information for free from the mortgage lender.

• You have the right to dispute incomplete or inaccurate information. If you identify
information in your file that is incomplete or inaccurate, and report it to the consumer reporting
agency, the agency must investigate unless your dispute is frivolous. See www.ftc.gov/credit for
an explanation of dispute procedures.

• Consumer reporting agencies must correct or delete inaccurate, incomplete, or


unverifiable information. Inaccurate, incomplete or unverifiable information must be removed
or corrected, usually within 30 days. However, a consumer reporting agency may continue to
report information it has verified as accurate.

• Consumer reporting agencies may not report outdated negative information. In most
cases, a consumer reporting agency may not report negative information that is more than
seven years old, or bankruptcies that are more than 10 years old.

• Access to your file is limited. A consumer reporting agency may provide information about
you only to people with a valid need -- usually to consider an application with a creditor, insurer,
SanDisk, landlord, or other business. The FCRA specifies those with a valid need for access.

• You must give your consent for reports to be provided to SanDisk. A consumer reporting
agency may not give out information about you to your SanDisk, or a potential SanDisk, without
Application-U.S.-Rev. 0309
your written consent given to the SanDisk. Written consent generally is not required in the
trucking industry. For more information, go to www.ftc.gov/credit.

• You may limit “prescreened” offers of credit and insurance you get based on information
in your credit report. Unsolicited “prescreened” offers for credit and insurance must include a
toll-free phone number you can call if you choose to remove your name and address from the
lists these offers are based on. You may opt-out with the nationwide credit bureaus at 888-5-
OPT-OUT (888-567-8688) or www.optoutprescreen.com.

• You may seek damages from violators. If a consumer reporting agency, or, in some cases, a
user of consumer reports or a furnisher of information to a consumer reporting agency violates
the FCRA, you may be able to sue in state or federal court.

• Identity theft victims and active duty military personnel have additional rights. For more
information, visit www.ftc.gov/credit.

States may enforce the FCRA and many states have their own consumer reporting laws. In
some cases, you may have other rights under state law. For more information, contact your
state or local consumer protection agency or your state Attorney General.

Federal enforcers are:

TYPE OF BUSINESS: CONTACT:


Consumer reporting agencies, creditors and others not Federal Trade Commission
listed below Consumer Response Center – FCRA
Washington, DC 20580 1-877-382-4357
National banks, federal branches/agencies of foreign Office of the Comptroller of the Currency
banks (word “National” or initials “N.A.” appear in or after Compliance Management, Mail Stop 6-6
bank’s name) Washington, DC 20219 800-613-6743
Federal Reserve System member banks (except national Federal Reserve Board
banks, and federal branches/agencies of foreign banks) Division of Consumer & Community Affairs
Washington, DC 20551 202-452-3693
Savings associations and federally chartered savings Office of Thrift Supervision
banks (word “Federal” or initials “F.S.B.” appear in federal Consumer Complaints
institution’s name) Washington, DC 20552 800-842-6929
Federal credit unions (words “Federal Credit Union” National Credit Union Administration
appear in institution’s name) 1775 Duke Street
Alexandria, VA 22314 703-519-4600
State-chartered banks that are not members of the Federal Deposit Insurance Corporation
Federal Reserve System Consumer Response Center, 2345 Grand Avenue, Suite 100
Kansas City, Missouri 64108-2638 1-877-275-3342
Air, surface, or rail common carriers regulated by former Department of Transportation
Civil Aeronautics Board or Interstate Commerce Office of Financial Management
Commission Washington, DC 20590 202-366-1306
Activities subject to the Packers and Stockyards Act, 1921 Department of Agriculture
Office of Deputy Administrator – GIPSA
Washington, DC 20250 202-720-7051

Application-U.S.-Rev. 0309
NOTICE REGARDING BACKGROUND INVESTIGATION
PURSUANT TO CALIFORNIA LAW

SanDisk (the “Company”) intends to obtain information about you from an investigative consumer
reporting agency and/or a consumer credit reporting agency for employment purposes. Thus, you can
expect to be the subject of “investigative consumer reports” and “consumer credit reports” obtained for
employment purposes. Such reports may include information about your character, general reputation,
personal characteristics and mode of living. With respect to any investigative consumer report from an
investigative consumer reporting agency (“ICRA”), the Company may investigate the information
contained in your employment application and other background information about you, including but
not limited to obtaining a criminal record report, verifying references, work history, your social security
number, your educational achievements, licensure, and certifications, your driving record, and other
information about you, and interviewing people who are knowledgeable about you. The results of this
report may be used as a factor in making employment decisions. The source of any investigative
consumer report (as that term is defined under California law) will be [consumer reporting agency
name, address, and telephone number - including toll-free number]. The source of any credit report will
be [consumer reporting agency name, address, and telephone number - including toll-free number].

The Company agrees to provide you with a copy of an investigative consumer report when required to
do so under California law.

Under California Civil Code section 1786.22, you are entitled to find out from an ICRA what is in the
ICRA’s file on you with proper identification, as follows:

• In person, by visual inspection of your file during normal business hours and on reasonable
notice. You also may request a copy of the information in person. The ICRA may not charge
you more than the actual copying costs for providing you with a copy of your file.

• A summary of all information contained in the ICRA’s file on you that is required to be provided
by the California Civil Code will be provided to you via telephone, if you have made a written
request, with proper identification, for telephone disclosure, and the toll charge, if any, for the
telephone call is prepaid by or charged directly to you.

• By requesting a copy be sent to a specified addressee by certified mail. ICRAs complying with
requests for certified mailings shall not be liable for disclosures to third parties caused by
mishandling of mail after such mailings leave the ICRAs.

“Proper Identification” includes documents such as a valid driver’s license, social security account
number, military identification card, and credit cards. Only if you cannot identify yourself with such
information may the ICRA require additional information concerning your employment and personal or
family history in order to verify your identity.

The ICRA will provide trained personnel to explain any information furnished to you and will provide a
written explanation of any coded information contained in files maintained on you. This written
explanation will be provided whenever a file is provided to you for visual inspection.

You may be accompanied by one other person of your choosing, who must furnish reasonable
identification. An ICRA may require you to furnish a written statement granting permission to the ICRA
to discuss your file in such person’s presence.

LA1 6773577.1
Application-U.S.-Rev. 0309

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