2803 Hr Application 08-1
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Application for Employment Freddie Mac Values Diversity: We consider all applicants for all positions without regard to race, color, religion, sex, sexual orientation, age, national origin, physical or mental disability, veteran status, marital status, ethnicity and all other protected categories under applicable federal, state or local laws. Please Print or Type
Date
PERSONAL DATA Last Name
First
MI
State
Zip Code
Street Address City
Telephone Number(s) Home ( )
Email Address Social Security Number
Work ( )
Cell ( )
Home
Work
EMPLOYMENT AND SALARY DESIRED Applying for
q Full Time
q Part Time q Intern
q Temporary
Position(s) (if known) Desired Salary
Date Available for Employment
How did you learn of this position? Have you been employed previously by Freddie Mac?
q Yes
q No
If yes, please indicate location and dates of employment.
EMPLOYMENT ELIGIBILITY In accordance with federal law, all individuals hired by Freddie Mac must present to Freddie Mac documents establishing United States citizenship or authorization to work in the United States. Are you authorized to work indefinitely in the United States? q Yes q No Is your eligibility to work or to continue to work in the United States contingent on employer sponsorship?
q Yes
q No
EDUCATIONAL BACKGROUND High School
Address (City/State) College/Technical School Address (City/State) Major(s) Degree(s)/Certifications Awarded May 2008
College/Technical School Address (City/State) Major(s) Degree(s)/Certifications Awarded Honors and Honorary Society Memberships
Outline any educational endeavor in which you are now engaged
Technical or Professional Certifications or Memberships
1
Name of Present or Last Employer Address Name and Title of Manager May we contact prior to offer? q Yes
q No
Telephone Numbers ( )
( )
Position(s) Held Actual Base (excluding bonus and/or commission) $ Bonus and/or commission $ Additional Compensation (e.g. Overtime, stock options, etc.—describe and indicate value)
Dates of Employment Description of Duties
From
To
q Resume attached
Reason for Leaving
2
Name of Previous Employer Address Name and Title of Manager Telephone Numbers ( )
( )
Position(s) Held Actual Base (excluding bonus and/or commission) $ Bonus and/or commission $ Additional Compensation (e.g. Overtime, stock options, etc.—describe and indicate value) Dates of Employment Description of Duties Reason for Leaving
From
q Resume attached
To
3
Name of Previous Employer Address Name and Title of Manager Telephone Numbers ( )
( )
Position(s) Held Actual Base (excluding bonus and/or commission): $ Bonus and/or commission: $ Additional Compensation (e.g. Overtime, stock options, etc.—describe and indicate value) Dates of Employment Description of Duties
From
To
q Resume attached
Reason for Leaving
POTENTIAL CONFLICTS OF INTERESTS 1. Outside Auditor Freddie Mac policy may restrict the employment of individuals who are or previously were employed by Freddie Mac’s Outside Auditor, and those individuals who are close family members of such individuals.
Are (or were) you, your spouse, domestic partner, child, dependent, or sibling a partner, principal, shareholder or professional employee of Freddie Mac’s current Outside Auditor? q Yes q No
q Yes
Within the preceding three years, did you participate in any manner in an external accounting audit of Freddie Mac? q No
2. Employment Restrictions
Are you subject to any agreement with any other entity that may restrict your ability to work for or recruit on behalf of Freddie Mac? Please include employment or confidentiality agreements, stock option and restricted stock agreements, and/or covenants not to compete. If yes, please provide to us copies of all such agreements. q Yes q No
q Yes
q Yes
q Yes
Have you ever rendered services to Fannie Mae in any capacity, including in the capacity as a consultant or contractor? q No Have you been employed by a federal, state, or local government entity during the past five years? q No If yes, did you or that entity have responsibility for matters pertaining to Freddie Mac’s business operations or lines of business? q No Have you ever rendered services to Freddie Mac in any capacity, including as a consultant or contractor? q No
q Yes
3. Compliance with Investment Limitations Policy
If you are employed by Freddie Mac, you will be expected to adhere to the company’s Investment Limitations Policy. This policy may limit amounts you and members of your household may invest in other companies and require you and/or your covered household members to sell securities currently owned, and may limit your ability to purchase securities in the future. If you are offered a position,
you will receive a copy of the company’s Investment Limitations Policy and may direct any questions you have to Freddie Mac’s Chief Compliance Officer.
4. Conflicts of Interest
Do you have any confidential information, trade secrets or other proprietary information which you obtained as a result of your employment with another employer or otherwise, which may relate to your position if employed by Freddie Mac? Note: Freddie Mac strictly prohibits its employees from misappropriating another’s trade secrets and/or proprietary information.
q Yes If yes, please discuss with your recruiter.
q No
MILITARY SERVICE Have you served in the United States military? q Yes
q No
Length of Service
To
From
Brief Description of Duties
List service schools or technical training received
REFERENCES Other Name(s) Under Which Previous Employment/Education May Be Listed: (e.g. maiden name) Name
Dates
Name
Dates
Professional References (Please list the names of all managers that supervised or evaluated your work.)
1.
Name
Telephone Number ( )
Employer/Title Address Email Address
2.
Name
Telephone Number ( )
Employer/Title Address Email Address
3.
Name
Telephone Number ( )
Employer/Title Address Email Address
4.
Name
Telephone Number ( )
Employer/Title Address Email Address
CRIMINAL RECORD Have you ever been convicted of a felony or misdemeanor (including all moving vehicle convictions such as speeding, DUI/DWI, or reckless driving), OTHER THAN (1) parking tickets; (2) convictions for marjuana-related offenses that occurred more than two years ago; (3) offenses for which you were referred to, and participated in, any pretrial or posttrial diversion program; and (4) offenses that have been sealed by the court or have been expunged from your record.
q Yes
q No
If “yes,” please explain:
INFORMATION FOR PERSONS WITH DISABILITIES Pursuant the Americans with Disabilities Act of 1990 (“ADA”), Freddie Mac will make reasonable accommodations to enable otherwise qualified individuals to participate in the recruiting process, accept employment and to perform their jobs properly and safely.
AUTHORIZATION I authorize Freddie Mac or its authorized agents to verify all information I provide in connection with my application, including any information related to my employment history, salary history, education, and references. Furthermore, I authorize Freddie Mac or its authorized agent to conduct a criminal background check, social security number verification and illegal drug screen on me. In the event that Freddie Mac is considering me for employment in a position Freddie Mac deems high risk, I further authorize Freddie Mac or its authorized agent to conduct a credit check on me. I understand that my eligibility for employment or continued employment with Freddie Mac will be contingent upon verification of the information I have provided to Freddie Mac as part of this application or otherwise in the hiring process, and upon Freddie Mac’s satisfaction with information it learns. I release Freddie Mac and its employees and agents from any and all liability associated with obtaining such information. I also release former employers, educational institutions, and any other entity or individual from any and all liability arising from or related to information provided to Freddie Mac regarding me. I affirm that, to the best of my knowledge and belief, the information I have disclosed on this application, or in any resume I have submitted, is true, correct, complete, and made in good faith. I understand that in the event Freddie Mac discovers at any time that any information contained in this application or on a resume I have submitted is false, or that I have failed to give complete responses to the questions asked on this application, any offer of employment extended to me may be withdrawn or, if already employed, my employment may be terminated. I understand that if employed by Freddie Mac, my employment will be “at-will” unless Freddie Mac and I enter into a written contract of employment for a specified period. Therefore, Freddie Mac may terminate my employment at any time, with or without cause and with or without prior notice to me. I understand that nothing contained in this application, nor any oral representations made to me by Freddie Mac, constitutes a contract of employment between me and Freddie Mac.
Signature
Date
DEMOGRAPHIC INFORMATION Freddie Mac Values Diversity: We consider all applicants for all positions without regard to race, color, religion, sex, sexual orientation, age, national origin, physical or mental disability, veteran status, marital status, ethnicity and all other protected categories under applicable federal, state or local laws. We are committed to diversity in the workplace. And we are committed to sustaining an environment where all employees can feel valued, respected and able to contribute to their fullest potential regardless of visible and invisible similarities or differences. Position Applied for
Date
Applicant’s Name: Last/First/Middle
Completion of Information Below is Voluntary We are subject to government record keeping and reporting requirements for the administration of civil rights laws. In order to comply with these laws, we invite you to self-identify your gender, race and ethnicity. Your submission of this information is voluntary. Information you provide will be treated confidentially, and will remain in a file separate from your application in Human Resources, and if hired, from your official personnel file. This information will not be used for or have any effect on any hiring or other employment-related decision, and only aggregated data that does not identify any specific individual is reported to the government. Thank you.
GENDER Check One:
q Male
q Female
RACE/ETHNICITY Check Category A or Check One Category Under B:
A. q
Hispanic or Latino A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.
B. q
q
q
q
q
White A person having origins in any of the original peoples of Europe, the Middle East or North Africa. Native Hawaiian or Other Pacific Islander A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands. Black or African American A person having origins in any of the black racial groups of Africa. Asian A person having with origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippines Islands, Thailand, and Vietnam. American Indian or Alaskan Native A person having origins in any of the original peoples of North and South America (including Central America) and who maintain tribal affiliation or community attachment.
q
Two or More Races (Not Hispanic or Latino) All persons who identify with more than one of the above five races.
q
Choose not to identify
Date
PERSONAL DATA Last Name
First
MI
State
Zip Code
Street Address City
Telephone Number(s) Home ( )
Email Address Social Security Number
Work ( )
Cell ( )
Home
Work
EMPLOYMENT AND SALARY DESIRED Applying for
q Full Time
q Part Time q Intern
q Temporary
Position(s) (if known) Desired Salary
Date Available for Employment
How did you learn of this position? Have you been employed previously by Freddie Mac?
q Yes
q No
If yes, please indicate location and dates of employment.
EMPLOYMENT ELIGIBILITY In accordance with federal law, all individuals hired by Freddie Mac must present to Freddie Mac documents establishing United States citizenship or authorization to work in the United States. Are you authorized to work indefinitely in the United States? q Yes q No Is your eligibility to work or to continue to work in the United States contingent on employer sponsorship?
q Yes
q No
EDUCATIONAL BACKGROUND High School
Address (City/State) College/Technical School Address (City/State) Major(s) Degree(s)/Certifications Awarded May 2008
College/Technical School Address (City/State) Major(s) Degree(s)/Certifications Awarded Honors and Honorary Society Memberships
Outline any educational endeavor in which you are now engaged
Technical or Professional Certifications or Memberships
1
Name of Present or Last Employer Address Name and Title of Manager May we contact prior to offer? q Yes
q No
Telephone Numbers ( )
( )
Position(s) Held Actual Base (excluding bonus and/or commission) $ Bonus and/or commission $ Additional Compensation (e.g. Overtime, stock options, etc.—describe and indicate value)
Dates of Employment Description of Duties
From
To
q Resume attached
Reason for Leaving
2
Name of Previous Employer Address Name and Title of Manager Telephone Numbers ( )
( )
Position(s) Held Actual Base (excluding bonus and/or commission) $ Bonus and/or commission $ Additional Compensation (e.g. Overtime, stock options, etc.—describe and indicate value) Dates of Employment Description of Duties Reason for Leaving
From
q Resume attached
To
3
Name of Previous Employer Address Name and Title of Manager Telephone Numbers ( )
( )
Position(s) Held Actual Base (excluding bonus and/or commission): $ Bonus and/or commission: $ Additional Compensation (e.g. Overtime, stock options, etc.—describe and indicate value) Dates of Employment Description of Duties
From
To
q Resume attached
Reason for Leaving
POTENTIAL CONFLICTS OF INTERESTS 1. Outside Auditor Freddie Mac policy may restrict the employment of individuals who are or previously were employed by Freddie Mac’s Outside Auditor, and those individuals who are close family members of such individuals.
Are (or were) you, your spouse, domestic partner, child, dependent, or sibling a partner, principal, shareholder or professional employee of Freddie Mac’s current Outside Auditor? q Yes q No
q Yes
Within the preceding three years, did you participate in any manner in an external accounting audit of Freddie Mac? q No
2. Employment Restrictions
Are you subject to any agreement with any other entity that may restrict your ability to work for or recruit on behalf of Freddie Mac? Please include employment or confidentiality agreements, stock option and restricted stock agreements, and/or covenants not to compete. If yes, please provide to us copies of all such agreements. q Yes q No
q Yes
q Yes
q Yes
Have you ever rendered services to Fannie Mae in any capacity, including in the capacity as a consultant or contractor? q No Have you been employed by a federal, state, or local government entity during the past five years? q No If yes, did you or that entity have responsibility for matters pertaining to Freddie Mac’s business operations or lines of business? q No Have you ever rendered services to Freddie Mac in any capacity, including as a consultant or contractor? q No
q Yes
3. Compliance with Investment Limitations Policy
If you are employed by Freddie Mac, you will be expected to adhere to the company’s Investment Limitations Policy. This policy may limit amounts you and members of your household may invest in other companies and require you and/or your covered household members to sell securities currently owned, and may limit your ability to purchase securities in the future. If you are offered a position,
you will receive a copy of the company’s Investment Limitations Policy and may direct any questions you have to Freddie Mac’s Chief Compliance Officer.
4. Conflicts of Interest
Do you have any confidential information, trade secrets or other proprietary information which you obtained as a result of your employment with another employer or otherwise, which may relate to your position if employed by Freddie Mac? Note: Freddie Mac strictly prohibits its employees from misappropriating another’s trade secrets and/or proprietary information.
q Yes If yes, please discuss with your recruiter.
q No
MILITARY SERVICE Have you served in the United States military? q Yes
q No
Length of Service
To
From
Brief Description of Duties
List service schools or technical training received
REFERENCES Other Name(s) Under Which Previous Employment/Education May Be Listed: (e.g. maiden name) Name
Dates
Name
Dates
Professional References (Please list the names of all managers that supervised or evaluated your work.)
1.
Name
Telephone Number ( )
Employer/Title Address Email Address
2.
Name
Telephone Number ( )
Employer/Title Address Email Address
3.
Name
Telephone Number ( )
Employer/Title Address Email Address
4.
Name
Telephone Number ( )
Employer/Title Address Email Address
CRIMINAL RECORD Have you ever been convicted of a felony or misdemeanor (including all moving vehicle convictions such as speeding, DUI/DWI, or reckless driving), OTHER THAN (1) parking tickets; (2) convictions for marjuana-related offenses that occurred more than two years ago; (3) offenses for which you were referred to, and participated in, any pretrial or posttrial diversion program; and (4) offenses that have been sealed by the court or have been expunged from your record.
q Yes
q No
If “yes,” please explain:
INFORMATION FOR PERSONS WITH DISABILITIES Pursuant the Americans with Disabilities Act of 1990 (“ADA”), Freddie Mac will make reasonable accommodations to enable otherwise qualified individuals to participate in the recruiting process, accept employment and to perform their jobs properly and safely.
AUTHORIZATION I authorize Freddie Mac or its authorized agents to verify all information I provide in connection with my application, including any information related to my employment history, salary history, education, and references. Furthermore, I authorize Freddie Mac or its authorized agent to conduct a criminal background check, social security number verification and illegal drug screen on me. In the event that Freddie Mac is considering me for employment in a position Freddie Mac deems high risk, I further authorize Freddie Mac or its authorized agent to conduct a credit check on me. I understand that my eligibility for employment or continued employment with Freddie Mac will be contingent upon verification of the information I have provided to Freddie Mac as part of this application or otherwise in the hiring process, and upon Freddie Mac’s satisfaction with information it learns. I release Freddie Mac and its employees and agents from any and all liability associated with obtaining such information. I also release former employers, educational institutions, and any other entity or individual from any and all liability arising from or related to information provided to Freddie Mac regarding me. I affirm that, to the best of my knowledge and belief, the information I have disclosed on this application, or in any resume I have submitted, is true, correct, complete, and made in good faith. I understand that in the event Freddie Mac discovers at any time that any information contained in this application or on a resume I have submitted is false, or that I have failed to give complete responses to the questions asked on this application, any offer of employment extended to me may be withdrawn or, if already employed, my employment may be terminated. I understand that if employed by Freddie Mac, my employment will be “at-will” unless Freddie Mac and I enter into a written contract of employment for a specified period. Therefore, Freddie Mac may terminate my employment at any time, with or without cause and with or without prior notice to me. I understand that nothing contained in this application, nor any oral representations made to me by Freddie Mac, constitutes a contract of employment between me and Freddie Mac.
Signature
Date
DEMOGRAPHIC INFORMATION Freddie Mac Values Diversity: We consider all applicants for all positions without regard to race, color, religion, sex, sexual orientation, age, national origin, physical or mental disability, veteran status, marital status, ethnicity and all other protected categories under applicable federal, state or local laws. We are committed to diversity in the workplace. And we are committed to sustaining an environment where all employees can feel valued, respected and able to contribute to their fullest potential regardless of visible and invisible similarities or differences. Position Applied for
Date
Applicant’s Name: Last/First/Middle
Completion of Information Below is Voluntary We are subject to government record keeping and reporting requirements for the administration of civil rights laws. In order to comply with these laws, we invite you to self-identify your gender, race and ethnicity. Your submission of this information is voluntary. Information you provide will be treated confidentially, and will remain in a file separate from your application in Human Resources, and if hired, from your official personnel file. This information will not be used for or have any effect on any hiring or other employment-related decision, and only aggregated data that does not identify any specific individual is reported to the government. Thank you.
GENDER Check One:
q Male
q Female
RACE/ETHNICITY Check Category A or Check One Category Under B:
A. q
Hispanic or Latino A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.
B. q
q
q
q
q
White A person having origins in any of the original peoples of Europe, the Middle East or North Africa. Native Hawaiian or Other Pacific Islander A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands. Black or African American A person having origins in any of the black racial groups of Africa. Asian A person having with origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippines Islands, Thailand, and Vietnam. American Indian or Alaskan Native A person having origins in any of the original peoples of North and South America (including Central America) and who maintain tribal affiliation or community attachment.
q
Two or More Races (Not Hispanic or Latino) All persons who identify with more than one of the above five races.
q
Choose not to identify
