|I certify that the information provided
in this application is accurate. I understand that the withholding of information
or the giving of false information on this application or my resume will
result in a refusal to hire or in disciplinary action up to and including
the termination of my employment.
I hereby grant permission to any person, firm or corporation to release to the Company or its representative any and all information regarding my past work or employment and my background. I waive any and all claims I might have with respect to the providing of such information.
I understand that the first three months of my employment are a probationary period during which I may resign or the Company may terminate my employment without notice. Upon completion of my probationary period I agree to give two weeks notice of any resignation and I agree that my employment may be terminated either for cause or with four weeks notice plus an additional two weeks notice for each completed year of service (where Statutory severance pay is required, I agree that some of this notice requirement may be converted into severance pay to meet such requirements).
I HAVE READ THE ABOVE PRIOR TO SIGNING
International Export Control Compliance Questionnaire
Country Where You Will Be Working:
EXPORT LAWS RESTRICT THE TRANSFER OF TECHNOLOGY TO CITIZENS OF CERTAIN
COUNTRIES. IF YOU ARE FROM ONE OF THESE COUNTRIES, SYNOPSYS MAY BE REQUIRED
TO OBTAIN AN EXPORT LICENSE BEFORE YOU ARE PERMITTED TO COMMENCE EMPLOYMENT.
THE FOLLOWING INFORMATION IS THEREFORE REQUIRED TO DETERMINE WHETHER AN EXPORT
LICENSE IS NECESSARY.
PLEASE READ THE QUESTIONS BELOW AND RESPOND:
1. Are you one of the following: U.S. Citizen, alien lawfully admitted for permanent residence, alien
admitted as a refugee under 8 U.S.C. 1157, or alien granted asylum under 8 U.S.C. 1158?
[ ] Yes [ ] No
2. If you answered “No” to Question 1 above, are you a foreign national of Cuba, Iran, North Korea,
Sudan or Syria?
[ ] Yes [ ] No
3. If you answered "No" to Question 1 above, are you a foreign national of any of the following countries:
Albania; Armenia; Azerbaijan; Belarus; Burma; Cambodia; China; Georgia; Iraq; Kazakhstan; Kyrgyzstan;
Laos; Libya; Macau; Moldova; Mongolia; Russia; Tajikistan; Turkmenistan; Ukraine; Uzbekistan or Vietnam?
[ ] Yes [ ] No
If yes, identify country:
I understand that Synopsys has no obligation to apply for an export license if one would be required
for me to work at Synopsys. Further, if Synopsys does apply for such a license, any offer of employment
may be contingent upon such prior authorization from the appropriate governmental agencies in charge
of export licenses.
Signature: _____________________________ Date: _________________
Please be advised that as part of Synopsys' employment process, the Company may obtain investigation reports about you in connection with your application for employment.
Investigation reports may include, but are not limited to, verification of education, past employment, criminal background reports, motor vehicle driving records, reference checks, civil suit records, and/or investigations into theft, fraud, harassment and workplace violence. This information may be obtained from personal interviews with your professional and personal acquaintances. You have the right to request in writing, within a reasonable period of time, a complete disclosure of the nature and scope of an investigation involving such personal interviews.
You should be aware that any information about
you obtained pursuant to investigation is confidential. Any such information
will be used solely for employment related considerations and not for any
I, ____________________, have read and understand the above disclosure and hereby authorize Synopsys or its agent(s), to obtain any background investigation reports on me in connection with my application for employment.
I understand that such investigation reports may include information about my professional experience, educational background, criminal record, character, and general reputation.
I grant permission to any person or entity to release to Synopsys or its agent(s) any and all information regarding my background. I waive any and all claims I may have with respect to providing such information.
I understand and agree that Synopsys and its agent(s) are not responsible for the accuracy or completeness of the information contained in such reports. I release Synopsys and its agent(s) from all liability, claims, and lawsuits with respect to the information obtained from any or all the sources used by Synopsys and its agent(s).
I understand that this authorization is not an offer of employment by Synopsys and that any false or misleading information I have provided to Synopsys may result in a refusal to hire, promote, reassign, or continue employment.
I also understand that this authorization is a continuing authorization and will remain valid until such time as I inform Synopsys, in writing, that I revoke this authorization.
____________________________________________ Date: _____________
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