Synopsys, Inc. APPLICATION FOR EMPLOYMENT 
(This is a valid application for all Canadian provinces except Quebec)
MUST BE COMPLETED AND SIGNED EVEN IF ATTACHING A PERSONAL RESUME 
 



AN EQUAL OPPORTUNITY EMPLOYER 
Synopsys is an affirmative action employer and is committed to equal employment opportunity regardless of race, ancestry, place of origin, colour, ethnic origins, citizenship, creed, sex, sexual orientation, age, record of offences, marital status, family status or handicap (all as defined in the Provincial Human Rights Code). We also seek ways in which positive actions can help to reinforce this commitment. In recruiting hiring, and promoting personnel, qualifications for the position being filled continue to be the determining factor.  Compensation, benefits, transfers, layoffs, and training practices are guided by the company’s Equal Employment Opportunity Policy. 
PERSONAL DATA
Name: Last, First, Middle Initial 
Address: Street Number, City, Province, Country and Postal Code 
Home Phone Number 

Email Address		 Business Phone Number and Extension 


SECURITY
Are you over the age of 18?  [  ] Yes 
[  ] No 
 
Can you, upon employment, furnish documents in original form, which prove your identity and that you have the legal right to work in Canada?  [  ] Yes 
[  ] No 
 Have you ever been convicted of an indictable criminal offence for which you have not been pardoned? [  ] Yes 
[  ] No 
If yes, please give details  Offence/Date/Disposition of Case 


REFERRAL SOURCE

[  ] Advertisement 
[  ] Walk-In 
[  ] Employee Referral/Name of Employee 

[  ] Other 


EMPLOYMENT INTEREST
Type of Position Desired:  Date Available: 

[  ] Full-Time 
[  ] Part-Time 
[  ] Summer Intern 
[  ] Temporary 
Geographic Preference 
Have you ever applied to Synopsys or a Synopsys subsidiary before?  [  ] Yes 
[  ] No 
If yes, when and where? 



EDUCATION AND TRAINING
Name of College/University/High School (List in order of highest degree attained.): 
Degree/Major: 
   
   
   

Additional education, vocational and/or professional information: 

 

Please list any equipment you are qualified to operate (e.g. word processor, test equipment) with words per minute where appropriate. 

 


EMPLOYMENT HISTORY
Account for at least the last ten years of employment, if applicable. List present or most recent employers first. List additional employers in next table. If you worked as a consultant or a temporary worker through an agency, please indicate the name of the agency. 
Employer:  Employment Dates: 
From  To 
Address: (Street Number and Name, City, Province, Country, Postal Code)  Phone Number: 
(        ) 
Job Title:  Supervisor's Name: 
Beginning Salary:  Ending Salary: 
Desciption of duties: 
 

Reason for leaving: 
Account for time between jobs: 
Employer:  Employment Dates: 
From  To 
Address: (Street Number and Name, City, Province, Country, Postal Code)  Phone Number: 
(        ) 
Job Title:  Supervisor's Name: 
Beginning Salary:  Ending Salary: 
Desciption of duties: 
 

Reason for leaving: 
Account for time between jobs: 
Employer:  Employment Dates: 
From  To 
Address: (Street Number and Name, City, Province, Country, Postal Code)  Phone Number: 
(        ) 
Job Title:  Supervisor's Name: 
Beginning Salary:  Ending Salary: 
Desciption of duties: 
 

Reason for leaving: 
Account for time between jobs: 



ADDITIONAL EMPLOYERS
Name and Address From (Mo/Yr) To (Mo/Yr) Job Title Reason for Leaving
         
         
         
         
         


REFERENCES
List three business or professional references that we may contact. 

May we contact your present employer? 
[  ] Yes   [  ] No 
Name 

 How Known? 

 Phone Number/E-mail Address 
Name 
 How Known? 
 Phone Number/E-mail Address 
Name 

 How Known? 

 Phone Number/E-mail Address 



APPLICANT'S STATEMENT
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 THIS APPLICATION. 
 
 
 
 
Signature 
Date 

 

 

 

 

 

 
DISCLOSURE AND RELEASE FORM

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 other purpose.


Authorization

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: _____________ 

________________________________
Name of Applicant (please print)

_________________________________
Signature of Applicant
 


 

Please Print or Type:
 
Last Name: 
First Name: Middle Name:  Middle Name: 
Driver's License Number:  Province: 
Present Address: 

Last Updated: Jul 21, 2006