The following questions are for the sole purpose of ensuring compliance with U.S. rules concerning the export of controlled or protected technologies
or information, including but not limited to The International Traffic in Arms Regulations (“ITAR”) (administered by the U.S. Department of State,
Directorate of Defense Trade Controls (“DDTC”)) and the Export Administration Regulations (“EAR”) (administered by the U.S. Department of Commerce,
Bureau of Industry and Security (“BIS”)).
If you do not wish to be considered for positions whose activities are subject to the Export Control Laws, then you may skip the following questions.
If you do wish to be considered for positions whose activities are subject to the Export Control Laws, then you must answer these questions.
If you answered "NO" to Question 1, then please indicate if you:
This question is not designed to elicit information about an applicant's disability. Please do not provide information about the existence of a disability, particular accomodation, or whether accomodations are necessary. These issues may be addressed at a later stage to extent permitted by law.
Who referred you to our company?
Please note that a "Yes" answer to any of the following questions will not necessarily disqualify you from employment.
Factors such as the age and time of the offense, seriousness and nature of the violation, and rehabilitation will be considered
when making any employment decisions.
Do not include convictions that were sealed or expunged pursuant to a court order.
NOTE: Before answering this question regarding criminal convictions, please refer to the instructions below
if you reside or are applying for a position in California, Connecticut, District of Columbia, Georgia, Hawaii, Massachusetts or Washington.
California Applicants: Do not identify any misdemeanor conviction for which probation has been successfully
completed or otherwise discharged and the case has been dismissed by a court. Also, do not identify marijuana-related
convictions entered by the court more than 2 years ago that involve: unlawful possession of marijuana; transportation
or giving away up to 28.5 grams of marijuana, other than concentrated cannabis, or the offering to transport or give
away up to 28.5 grams of marijuana, other than concentrated cannabis; possession of paraphernalia used to smoke
marijuana; being in a place with knowledge that marijuana was being used; or being under the influence of marijuana.
Connecticut Applicants: Applicants are not required to disclose the existence of any arrest, criminal charge,
or conviction, the records of which have been erased pursuant to section 46b – 146, 54 -76o or 54 – 142a of the
Connecticut General Statutes. Criminal records subject to erasure under these sections are records pertaining
to a finding of delinquency or the fact that a child was a member of a family with service needs, an adjudication
as a youthful offender, a criminal charge that has been dismissed or nolled (not prosecuted), a criminal charge
for which the person was found not guilty, or a conviction for which the offender received an absolute pardon.
Any person whose criminal records have been erased pursuant to these sections is deemed to have never been arrested
within the meaning of the law as it applies to the particular proceedings that have been erased, and so may swear under oath.
District of Columbia Applicants: Do not identify any guilty plea that was discharged by the court under Georgia’s First Offender Act.
Hawaii Applicants: Do not answer this question at this time. You will only have to answer this question if you
receive a conditional offer of employment. At that time, you will be asked whether you have been convicted of a crime within the past ten (10) years.
Massachusetts Applicants: An applicant for employment with a sealed record on file with the Commissioner of
Probation may answer “no record” with respect to an inquiry herein relative to prior arrests, criminal court appearances
or convictions. In addition, an applicant for employment may answer “no record” with respect to an inquiry relative to
prior arrests, court appearances and adjudications in all cases of delinquency or as a child in need of services which
did not result in a complaint transferred to the superior court for criminal prosecution. Massachusetts applicants should
not disclose information regarding first-time misdemeanor convictions for drunkenness, simple assault, speeding, minor
traffic violations, affray or disturbance of the peace. Finally, Massachusetts applicants should not disclose convictions
for other misdemeanors where the date of conviction or the end of any period of incarceration was more than five years
ago unless there have been subsequent convictions within those five years.
New York Applicants: You may answer “no record” concerning any criminal proceeding that terminated in your favor,
per section 160.50 of the New York Criminal Procedure Law; any criminal proceeding that terminated in a “youthful offender
adjudication”, as defined in section 720.35 of the New York Criminal Procedure Law; a conviction for a “violation” that has
already been sealed by the court, per section 160.55 of the New York Criminal Procedure Law.
Washington Applicants: Do not identify any conviction that is more than ten (10) years old at the time of making this application.
This application form is intended for use in evaluating your qualifications for employment. This application form is
not an offer of employment. If hired, such employment shall be considered “at will” and this application is not
intended to constitute a contract of continued employment. False or misleading statements during the interview or
on this form may result in the refusal to hire or termination of employment. Applicants are considered for positions
without discrimination on the basis of race, color, religion, creed, age, marital status, sex, sexual orientation,
gender identity or expression, national origin, citizenship status, protected veteran status, disability, or any other
status protected by state or local law, and compensation inquiries, discussions or disclosures or any other consideration
made unlawful by applicable federal, state or local laws.
Additional testing of job-related skills and for the presence of drugs in your body may be required prior to employment.
After an offer of employment, and prior to reporting to work, you may be required to submit to a medical review.
Depending on company policy and the needs of the job, you may be required to complete a medical history form and may
be required to be examined by a medical professional designated by the company. Smoking is prohibited in all indoor
areas of the Company's facilities unless designated smoking areas have been established at a particular location
in accordance with applicable state and local law.