Applicant Information Form Canada

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w:val="center"/><w:rPr><w:b/><w:b-cs/></w:rPr></w:pPr></w:p><w:p
wsp:rsidR="002449EC" wsp:rsidRDefault="002449EC"><w:pPr><w:pStyle
w:val="BodyText"/></w:pPr><w:r><w:t>Please provide all info</w:t></w:r><w:r
wsp:rsidR="00107F37"><w:t>rmation requested. A partially
</w:t></w:r><w:r><w:t>filled application will not be accepted for review.
</w:t></w:r><w:r wsp:rsidR="00107F37"><w:rPr><w:sz-cs
w:val="20"/></w:rPr><w:t>Amazon</w:t></w:r><w:r wsp:rsidR="007F2256"><w:rPr><w:sz-
cs w:val="20"/></w:rPr><w:t> </w:t></w:r><w:r wsp:rsidR="00107F37"><w:t>is
an</w:t></w:r><w:r><w:t> equal opportunity employer, </w:t></w:r><w:r
wsp:rsidR="00E00B28"><w:t>and does not discriminate on the basis of race, religion,
creed, color, </w:t></w:r><w:proofErr w:type="gramStart"/><w:r
wsp:rsidR="00E00B28"><w:t>place</w:t></w:r><w:proofErr w:type="gramEnd"/><w:r
wsp:rsidR="00E00B28"><w:t> of origin, citizenship, marital and family status, sex,
age, sexual orientation, ancestry, physical or mental disability, or other legally
protected status.</w:t></w:r></w:p><w:p wsp:rsidR="002449EC"
wsp:rsidRDefault="00107F37"><w:pPr><w:pStyle
w:val="BodyText"/></w:pPr><w:r><w:t>Amazon</w:t></w:r><w:r
wsp:rsidR="002449EC"><w:t> complies with all applicable provincial non-
discrimination laws and regulations.</w:t></w:r></w:p><wx:sub-section><w:p
wsp:rsidP="00107F37" wsp:rsidR="002449EC"
wsp:rsidRDefault="002449EC"><w:pPr><w:outlineLvl w:val="0"/><w:rPr><w:rStyle
w:val="Strong"/><w:rFonts w:cs="Arial"/><w:b-cs/><w:sz-cs
w:val="20"/></w:rPr></w:pPr><w:r><w:rPr><w:rStyle w:val="Strong"/><w:rFonts
w:cs="Arial"/><w:b-cs/><w:sz-cs w:val="20"/></w:rPr><w:t>Personal
Information:</w:t></w:r></w:p><w:p wsp:rsidR="002520BD"
wsp:rsidRDefault="002520BD"><w:pPr><w:rPr><w:rStyle w:val="Strong"/><w:rFonts
w:cs="Arial"/><w:b-cs/><w:sz-cs
w:val="20"/></w:rPr></w:pPr></w:p><w:tbl><w:tblPr><w:tblW w:type="dxa"
w:w="10335"/><w:tblBorders><w:top w:color="auto" w:space="0" w:sz="4"
w:val="single" wx:bdrwidth="10"/><w:left w:color="auto" w:space="0" w:sz="4"
w:val="single" wx:bdrwidth="10"/><w:bottom w:color="auto" w:space="0" w:sz="4"
w:val="single" wx:bdrwidth="10"/><w:right w:color="auto" w:space="0" w:sz="4"
w:val="single" wx:bdrwidth="10"/><w:insideH w:color="auto" w:space="0" w:sz="4"
w:val="single" wx:bdrwidth="10"/><w:insideV w:color="auto" w:space="0" w:sz="4"
w:val="single" wx:bdrwidth="10"/></w:tblBorders><w:tblLook
w:val="01E0"/></w:tblPr><w:tblGrid><w:gridCol w:w="642"/><w:gridCol
w:w="1408"/><w:gridCol w:w="1307"/><w:gridCol w:w="707"/><w:gridCol
w:w="247"/><w:gridCol w:w="1212"/><w:gridCol w:w="1245"/><w:gridCol
w:w="1230"/><w:gridCol w:w="2337"/></w:tblGrid><w:tr wsp:rsidR="002520BD"
wsp:rsidTr="00F14587"><w:trPr><w:trHeight
w:val="255"/></w:trPr><w:tc><w:tcPr><w:tcW w:type="dxa" w:w="2050"/><w:gridSpan
w:val="2"/><w:vAlign w:val="center"/></w:tcPr><w:p wsp:rsidP="00F14587"
wsp:rsidR="002520BD" wsp:rsidRDefault="002520BD"><w:pPr><w:rPr><w:sz-cs
w:val="20"/></w:rPr></w:pPr><w:r><w:rPr><w:sz-cs w:val="20"/></w:rPr><w:t>Full
Name</w:t></w:r></w:p></w:tc><w:tc><w:tcPr><w:tcW w:type="dxa"
w:w="8285"/><w:gridSpan w:val="7"/><w:vAlign w:val="center"/></w:tcPr><w:p
wsp:rsidP="00F14587" wsp:rsidR="002520BD"
wsp:rsidRDefault="00295912"><w:pPr><w:rPr><w:sz-cs
w:val="20"/></w:rPr></w:pPr><w:r><w:rPr><w:sz-cs w:val="20"/></w:rPr><w:t>Adeola
Jeremiah</w:t></w:r></w:p></w:tc></w:tr><w:tr wsp:rsidR="002520BD"
wsp:rsidTr="00F14587"><w:trPr><w:trHeight
w:val="20"/></w:rPr></w:pPr><w:r><w:rPr><w:sz-cs
w:val="20"/></w:rPr><w:t>Application
Date</w:t></w:r></w:p></w:tc><w:tc><w:tcPr><w:tcW w:type="dxa"
w:val="20"/></w:rPr><w:t>07/05/2017</w:t></w:r></w:p></w:tc></w:tr><w:tr
wsp:rsidR="002520BD" wsp:rsidTr="00F14587"><w:tblPrEx><w:tblBorders><w:insideH
w:color="auto" w:space="0" w:sz="6" w:val="single" wx:bdrwidth="15"/><w:insideV
w:color="auto" w:space="0" w:sz="6" w:val="single"
wx:bdrwidth="15"/></w:tblBorders></w:tblPrEx><w:trPr><w:trHeight
w:val="20"/></w:rPr></w:pPr><w:r><w:rPr><w:sz-cs w:val="20"/></w:rPr><w:t>Current
Address* (No P.O. Boxes please)</w:t></w:r></w:p></w:tc><w:tc><w:tcPr><w:tcW
w:type="dxa" w:w="6271"/><w:gridSpan w:val="5"/><w:vAlign
w:val="center"/></w:tcPr><w:p wsp:rsidP="00F14587" wsp:rsidR="002520BD"
w:val="20"/></w:rPr></w:pPr><w:r><w:rPr><w:sz-cs w:val="20"/></w:rPr><w:t>19
Jogunomi Street, off Lanre Awolokun, Gbagada Phase
2</w:t></w:r></w:p></w:tc></w:tr><w:tr wsp:rsidR="002520BD"
wsp:rsidTr="00F14587"><w:tblPrEx><w:tblBorders><w:insideH w:color="auto"
w:space="0" w:sz="6" w:val="single" wx:bdrwidth="15"/><w:insideV w:color="auto"
w:space="0" w:sz="6" w:val="single"
w:val="20"/></w:rPr></w:pPr><w:r><w:rPr><w:sz-cs w:val="20"/></w:rPr><w:t>Current
Address Line 2</w:t></w:r></w:p></w:tc><w:tc><w:tcPr><w:tcW w:type="dxa"
w:val="20"/></w:rPr><w:t></w:t></w:r></w:p></w:tc></w:tr><w:tr wsp:rsidR="002520BD"
wsp:rsidTr="00F14587"><w:tblPrEx><w:tblBorders><w:insideH w:color="auto"
w:space="0" w:sz="6" w:val="single" wx:bdrwidth="15"/><w:insideV w:color="auto"
w:space="0" w:sz="6" w:val="single"
w:val="255"/></w:trPr><w:tc><w:tcPr><w:tcW w:type="dxa" w:w="642"/><w:vAlign
wsp:rsidRDefault="002520BD"><w:pPr><w:rPr><w:sz-cs
w:val="20"/></w:rPr><w:t>City*</w:t></w:r></w:p></w:tc><w:tc><w:tcPr><w:tcW
w:type="dxa" w:w="3669"/><w:gridSpan w:val="4"/><w:vAlign
w:val="20"/></w:rPr><w:t>Lagos</w:t></w:r></w:p></w:tc><w:tc><w:tcPr><w:tcW
w:type="dxa" w:w="1212"/><w:vAlign w:val="center"/></w:tcPr><w:p
wsp:rsidRDefault="002520BD"><w:pPr><w:rPr><w:sz-cs
w:val="20"/></w:rPr><w:t>Province*</w:t></w:r></w:p></w:tc><w:tc><w:tcPr><w:tcW
w:type="dxa" w:w="1245"/><w:vAlign w:val="center"/></w:tcPr><w:p
w:val="20"/></w:rPr></w:pPr><w:r><w:rPr><w:sz-cs w:val="20"/></w:rPr><w:t>Not
Applicable</w:t></w:r></w:p></w:tc><w:tc><w:tcPr><w:tcW w:type="dxa"
w:w="1230"/><w:vAlign w:val="center"/></w:tcPr><w:p wsp:rsidP="00F14587"
wsp:rsidR="002520BD" wsp:rsidRDefault="00107F37"><w:pPr><w:rPr><w:sz-cs
w:val="20"/></w:rPr></w:pPr><w:r><w:rPr><w:sz-cs w:val="20"/></w:rPr><w:t>Postal
Code</w:t></w:r></w:p></w:tc><w:tc><w:tcPr><w:tcW w:type="dxa"
w:w="2337"/><w:vAlign w:val="center"/></w:tcPr><w:p wsp:rsidP="00F14587"
wsp:rsidR="002520BD" wsp:rsidRDefault="00295912"><w:pPr><w:rPr><w:sz-cs
w:val="20"/></w:rPr><w:t>2341</w:t></w:r></w:p></w:tc></w:tr><w:tr
w:val="20"/></w:rPr></w:pPr><w:r><w:rPr><w:sz-cs w:val="20"/></w:rPr><w:t>Phone
Number</w:t></w:r></w:p></w:tc><w:tc><w:tcPr><w:tcW w:type="dxa"
w:val="20"/></w:rPr><w:t>+2348021485393</w:t></w:r></w:p></w:tc></w:tr><w:tr
w:val="20"/></w:rPr></w:pPr><w:r><w:rPr><w:sz-cs w:val="20"/></w:rPr><w:t>Email
Address</w:t></w:r></w:p></w:tc><w:tc><w:tcPr><w:tcW w:type="dxa"
w:val="20"/></w:rPr><w:t>adeola.adejuwon@gmail.com</w:t></w:r></w:p></w:tc></w:tr><
/w:tbl><w:p wsp:rsidR="002520BD"
wsp:rsidRDefault="002520BD"><w:pPr><w:rPr><w:rStyle w:val="Strong"/><w:rFonts
w:cs="Arial"/><w:b-cs/><w:sz-cs w:val="20"/></w:rPr></w:pPr></w:p><w:p
w:val="20"/></w:rPr></w:pPr></w:p></wx:sub-section><wx:sub-section><w:p
wsp:rsidP="00107F37" wsp:rsidR="002449EC"
wsp:rsidRDefault="002449EC"><w:pPr><w:outlineLvl w:val="0"/><w:rPr><w:rStyle
w:val="Strong"/><w:rFonts w:cs="Arial"/><w:b-cs/><w:sz-cs
w:val="20"/></w:rPr></w:pPr><w:r><w:rPr><w:rStyle w:val="Strong"/><w:rFonts
w:cs="Arial"/><w:b-cs/><w:sz-cs w:val="20"/></w:rPr><w:t>Previous </w:t></w:r><w:r
wsp:rsidR="00107F37"><w:rPr><w:rStyle w:val="Strong"/><w:rFonts w:cs="Arial"/><w:b-
cs/><w:sz-cs w:val="20"/></w:rPr><w:t>Amazon</w:t></w:r><w:r><w:rPr><w:rStyle
w:val="Strong"/><w:rFonts w:cs="Arial"/><w:b-cs/><w:sz-cs w:val="20"/></w:rPr><w:t>
and Employment Eligibility Information:</w:t></w:r></w:p><w:p wsp:rsidR="0015115E"
wsp:rsidRDefault="0015115E"><w:pPr><w:rPr><w:rStyle w:val="Strong"/><w:rFonts
w:cs="Arial"/><w:b-cs/><w:sz-cs
w:val="20"/></w:rPr></w:pPr></w:p><w:tbl><w:tblPr><w:tblW w:type="pct"
w:w="5434"/><w:tblCellSpacing w:type="dxa" w:w="15"/><w:tblBorders><w:top
w:color="auto" w:space="0" w:sz="6" w:val="outset" wx:bdrwidth="15"/><w:left
w:color="auto" w:space="0" w:sz="6" w:val="outset" wx:bdrwidth="15"/><w:bottom
w:color="auto" w:space="0" w:sz="6" w:val="outset" wx:bdrwidth="15"/><w:right
w:color="auto" w:space="0" w:sz="6" w:val="outset"
wx:bdrwidth="15"/></w:tblBorders><w:tblCellMar><w:top w:type="dxa"
w:w="30"/><w:left w:type="dxa" w:w="30"/><w:bottom w:type="dxa" w:w="30"/><w:right
w:type="dxa" w:w="30"/></w:tblCellMar><w:tblLook
w:val="00A0"/></w:tblPr><w:tblGrid><w:gridCol w:w="4756"/><w:gridCol
w:w="5579"/></w:tblGrid><w:tr wsp:rsidR="0015115E" wsp:rsidRPr="00B55170"
wsp:rsidTr="0015115E"><w:trPr><w:tblCellSpacing w:type="dxa"
w:w="15"/></w:trPr><w:tc><w:tcPr><w:tcW w:type="pct"
w:w="2279"/><w:tcBorders><w:top w:color="auto" w:space="0" w:sz="6" w:val="outset"
wx:bdrwidth="15"/><w:bottom w:color="auto" w:space="0" w:sz="6" w:val="outset"
wx:bdrwidth="15"/><w:right w:color="auto" w:space="0" w:sz="6" w:val="outset"
wx:bdrwidth="15"/></w:tcBorders></w:tcPr><w:p wsp:rsidP="00107F37"
wsp:rsidR="0015115E" wsp:rsidRDefault="0015115E"
wsp:rsidRPr="00B55170"><w:pPr><w:pStyle w:val="NormalWeb"/><w:spacing w:after="0"
w:after-autospacing="off" w:before="0" w:before-autospacing="off"/></w:pPr><w:r
wsp:rsidRPr="00B55170"><w:rPr><w:rStyle w:val="Strong"/><w:rFonts
w:cs="Arial"/><w:sz-cs w:val="20"/></w:rPr><w:t>Have you previously applied
to</w:t></w:r><w:r><w:rPr><w:rStyle w:val="Strong"/><w:rFonts w:cs="Arial"/><w:sz-
cs w:val="20"/></w:rPr><w:t> </w:t></w:r><w:r wsp:rsidR="00107F37"><w:rPr><w:rStyle
w:val="Strong"/><w:rFonts w:cs="Arial"/><w:sz-cs
w:val="20"/></w:rPr><w:t>Amazon</w:t></w:r><w:r><w:rPr><w:rStyle
w:val="Strong"/><w:rFonts w:cs="Arial"/><w:sz-cs w:val="20"/></w:rPr><w:t> or any
</w:t></w:r><w:r wsp:rsidR="00107F37"><w:rPr><w:rStyle w:val="Strong"/><w:rFonts
w:cs="Arial"/><w:sz-cs
w:val="20"/></w:rPr><w:t>Amazon</w:t></w:r><w:r><w:rPr><w:rStyle
w:val="Strong"/><w:rFonts w:cs="Arial"/><w:sz-cs w:val="20"/></w:rPr><w:t>
</w:t></w:r><w:r wsp:rsidR="007C7055"><w:rPr><w:rStyle w:val="Strong"/><w:rFonts
w:cs="Arial"/><w:sz-cs w:val="20"/></w:rPr><w:t>affiliate</w:t></w:r><w:r
w:cs="Arial"/><w:sz-cs w:val="20"/></w:rPr><w:t>?
</w:t></w:r></w:p></w:tc><w:tc><w:tcPr><w:tcW w:type="pct"
wx:bdrwidth="15"/><w:left w:color="auto" w:space="0" w:sz="6" w:val="outset"
wsp:rsidR="0015115E" wsp:rsidRDefault="0078622A"
w:after-autospacing="off" w:before="0" w:before-
autospacing="off"/></w:pPr><w:pict><w:binData
w:name="wordml://icims_check_off.gif">R0lGODlhFAAUAIAAAAAAAP///yH5BAAAAAAALAAAAAAUA
BQAAAIkjI+py+0PowS0WgdYblv19SFhMhrlcZ6mhrGcq1myRNf2jSsFADs=</w:binData><v:shape
type="#_x0000_t75" alt="" style="width:15pt;height:15pt"><v:imagedata
src="wordml://icims_check_off.gif"
o:href="http://cdn01.icims.com/20050907141207/images.icims.com/images/customers/che
ck_off.gif" /></v:shape></w:pict><w:r
wsp:rsidR="004F47F9"><w:rPr><w:noProof/><w:sz-cs w:val="20"/></w:rPr><w:t>
</w:t></w:r><w:r wsp:rsidR="0015115E" wsp:rsidRPr="00B55170"><w:rPr><w:sz-cs
w:val="20"/></w:rPr><w:t>Yes</w:t></w:r><w:r wsp:rsidR="0015115E"
wsp:rsidRPr="00B55170"><w:rPr><w:sz-cs
w:val="20"/></w:rPr><w:br/></w:r><w:pict><w:binData
w:name="wordml://icims_check_on.gif">R0lGODlhFAAUALMAAP+Mmf8kPP9TZv/P1P+3v//v8f8RLP
/f4/8AHQAAAP///wAAAAAAAAAAAAAAAAAAACH5BAAAAAAALAAAAAAUABQAAARPUMlJqyJC2D0BCgW3DYgxi
FYRIABqeRqXzPT8oYm1nmJ+ZAoPINcLlgifAlGmICGeBMVyQ1whYlML0WM4SLKVJYEnxTF7tbRrzW673/BN
BAA7</w:binData><v:shape type="#_x0000_t75" alt=""
style="width:15pt;height:15pt"><v:imagedata src="wordml://icims_check_on.gif"
ck_on.gif" /></v:shape></w:pict><w:r wsp:rsidR="004F47F9"><w:rPr><w:noProof/><w:sz-
cs w:val="20"/></w:rPr><w:t> </w:t></w:r><w:r wsp:rsidR="0015115E"
w:val="20"/></w:rPr><w:t>No</w:t></w:r></w:p></w:tc></w:tr><w:tr
wsp:rsidR="0015115E" wsp:rsidRPr="00B55170"
wsp:rsidRPr="00B55170"><w:rPr><w:sz-cs w:val="20"/></w:rPr><w:t> If yes,
please identify the company and give
date(s):</w:t></w:r></w:p></w:tc><w:tc><w:tcPr><w:tcW w:type="pct"
wsp:rsidR="0015115E" wsp:rsidRDefault="004F47F9"
autospacing="off"/></w:pPr><w:r><w:rPr><w:sz-cs w:val="18"/><w:lang w:val="EN-
GB"/></w:rPr><w:t></w:t></w:r></w:p></w:tc></w:tr><w:tr wsp:rsidR="0015115E"
wsp:rsidRPr="00B55170" wsp:rsidTr="0015115E"><w:trPr><w:tblCellSpacing w:type="dxa"
w:cs="Arial"/><w:sz-cs w:val="20"/></w:rPr><w:t>Have you previously been employed
by </w:t></w:r><w:r wsp:rsidR="007C7055"><w:rPr><w:rStyle w:val="Strong"/><w:rFonts
w:cs="Arial"/><w:sz-cs w:val="20"/></w:rPr><w:t>any </w:t></w:r><w:r
wsp:rsidR="00107F37"><w:rPr><w:rStyle
w:val="20"/></w:rPr><w:t>Amazon</w:t></w:r><w:r
wsp:rsidR="007C7055"><w:rPr><w:rStyle w:val="Strong"/><w:rFonts
w:cs="Arial"/><w:sz-cs w:val="20"/></w:rPr><w:t> affiliate</w:t></w:r><w:r
wsp:rsidR="004F47F9"><w:rPr><w:noProof/><w:sz-cs w:val="20"/></w:rPr><w:t>
</w:t></w:r><w:r wsp:rsidR="004F47F9" wsp:rsidRPr="00B55170"><w:rPr><w:sz-cs
w:val="20"/></w:rPr><w:t>Yes</w:t></w:r><w:r wsp:rsidR="004F47F9"
ck_on.gif" /></v:shape></w:pict><w:r wsp:rsidR="004F47F9"><w:rPr><w:noProof/><w:sz-
cs w:val="20"/></w:rPr><w:t> </w:t></w:r><w:r wsp:rsidR="004F47F9"
please identify the company and give date(s) of
employment:</w:t></w:r></w:p></w:tc><w:tc><w:tcPr><w:tcW w:type="pct"
wsp:rsidR="0015115E" wsp:rsidRDefault="004F47F9"
w:cs="Arial"/><w:sz-cs w:val="20"/></w:rPr><w:t>Are you subject to a non-
competition agreement or other agreement that would preclude or restrict your
employment at </w:t></w:r><w:r wsp:rsidR="00107F37"><w:rPr><w:rStyle
wsp:rsidR="00201B45"><w:rPr><w:noProof/><w:sz-cs w:val="20"/></w:rPr><w:t>
</w:t></w:r><w:r wsp:rsidR="00201B45" wsp:rsidRPr="00B55170"><w:rPr><w:sz-cs
w:val="20"/></w:rPr><w:t>Yes</w:t></w:r><w:r wsp:rsidR="00201B45"
ck_on.gif" /></v:shape></w:pict><w:r wsp:rsidR="00201B45"><w:rPr><w:noProof/><w:sz-
cs w:val="20"/></w:rPr><w:t> </w:t></w:r><w:r wsp:rsidR="00201B45"
please describe:</w:t></w:r></w:p></w:tc><w:tc><w:tcPr><w:tcW w:type="pct"
wsp:rsidR="0015115E" wsp:rsidRDefault="00201B45"
w:cs="Arial"/><w:sz-cs w:val="20"/></w:rPr><w:t>If offered employment by
</w:t></w:r><w:r wsp:rsidR="00107F37"><w:rPr><w:rStyle w:val="Strong"/><w:rFonts
w:cs="Arial"/><w:sz-cs w:val="20"/></w:rPr><w:t>Amazon</w:t></w:r><w:r
w:cs="Arial"/><w:sz-cs w:val="20"/></w:rPr><w:t>, would you be legally eligible to
begin employment immediately?</w:t></w:r></w:p></w:tc><w:tc><w:tcPr><w:tcW
w:type="pct" w:w="2678"/><w:tcBorders><w:top w:color="auto" w:space="0" w:sz="6"
w:val="outset" wx:bdrwidth="15"/><w:left w:color="auto" w:space="0" w:sz="6"
w:val="outset" wx:bdrwidth="15"/><w:bottom w:color="auto" w:space="0" w:sz="6"
w:val="outset"
ck_on.gif" /></v:shape></w:pict><w:r wsp:rsidR="00CF0E6D"><w:rPr><w:noProof/><w:sz-
cs w:val="20"/></w:rPr><w:t> </w:t></w:r><w:r wsp:rsidR="00CF0E6D"
wsp:rsidRPr="00B55170"><w:rPr><w:sz-cs w:val="20"/></w:rPr><w:t>Yes</w:t></w:r><w:r
wsp:rsidR="00CF0E6D" wsp:rsidRPr="00B55170"><w:rPr><w:sz-cs
wsp:rsidR="00CF0E6D"><w:rPr><w:noProof/><w:sz-cs w:val="20"/></w:rPr><w:t>
</w:t></w:r><w:r wsp:rsidR="00CF0E6D" wsp:rsidRPr="00B55170"><w:rPr><w:sz-cs
wx:bdrwidth="15"/></w:tcBorders></w:tcPr><w:p wsp:rsidP="0015115E"
w:cs="Arial"/><w:sz-cs w:val="20"/></w:rPr><w:t>Will you need any immigration-
related support or sponsorship from </w:t></w:r><w:r
wsp:rsidR="00107F37"><w:rPr><w:rStyle w:val="Strong"/><w:rFonts
w:cs="Arial"/><w:sz-cs w:val="20"/></w:rPr><w:t>Amazon</w:t></w:r><w:r
w:cs="Arial"/><w:sz-cs w:val="20"/></w:rPr><w:t> in order to begin or continue
employment with </w:t></w:r><w:r wsp:rsidR="00107F37"><w:rPr><w:rStyle
w:cs="Arial"/><w:sz-cs w:val="20"/></w:rPr><w:t>? </w:t></w:r><w:r><w:rPr><w:b-
cs/><w:i/><w:color w:val="000000"/><w:sz-cs w:val="20"/></w:rPr><w:t>(If you are
currently on any temporary work permit and have no alternate form of work
authorization, you should mark Yes)</w:t></w:r></w:p></w:tc><w:tc><w:tcPr><w:tcW
w:val="outset" wx:bdrwidth="15"/><w:left w:color="auto" w:space="0" w:sz="6"
w:val="outset" wx:bdrwidth="15"/><w:bottom w:color="auto" w:space="0" w:sz="6"
w:val="outset" wx:bdrwidth="15"/></w:tcBorders></w:tcPr><w:p wsp:rsidP="00F14587"
ck_on.gif" /></v:shape></w:pict><w:r wsp:rsidR="00CF0E6D"><w:rPr><w:noProof/><w:sz-
cs w:val="20"/></w:rPr><w:t> </w:t></w:r><w:r wsp:rsidR="00CF0E6D"
wsp:rsidRPr="00B55170"><w:rPr><w:sz-cs w:val="20"/></w:rPr><w:t>Yes</w:t></w:r><w:r
wsp:rsidR="00CF0E6D" wsp:rsidRPr="00B55170"><w:rPr><w:sz-cs
wsp:rsidR="00CF0E6D"><w:rPr><w:noProof/><w:sz-cs w:val="20"/></w:rPr><w:t>
</w:t></w:r><w:r wsp:rsidR="00CF0E6D" wsp:rsidRPr="00B55170"><w:rPr><w:sz-cs
w:val="20"/></w:rPr><w:t>No</w:t></w:r></w:p></w:tc></w:tr></w:tbl><w:p
wsp:rsidR="0015115E" wsp:rsidRDefault="0015115E"><w:pPr><w:pStyle
w:val="BodyText"/></w:pPr></w:p><w:tbl><w:tblPr><w:tblW w:type="pct"
w:w="5000"/><w:tblCellSpacing w:type="dxa" w:w="15"/><w:tblBorders><w:top
w:color="auto" w:space="0" w:sz="6" w:val="outset" wx:bdrwidth="15"/><w:left
wx:bdrwidth="15"/></w:tblBorders><w:tblCellMar><w:top w:type="dxa"
w:w="30"/><w:left w:type="dxa" w:w="30"/><w:bottom w:type="dxa" w:w="30"/><w:right
w:type="dxa" w:w="30"/></w:tblCellMar><w:tblLook
w:val="00A0"/></w:tblPr><w:tblGrid><w:gridCol w:w="470"/><w:gridCol
w:w="9040"/></w:tblGrid><w:tr wsp:rsidR="0015115E" wsp:rsidRPr="00B55170"
wsp:rsidTr="00F14587"><w:trPr><w:tblCellSpacing w:type="dxa"
w:w="15"/></w:trPr><w:tc><w:tcPr><w:tcW w:type="dxa" w:w="465"/><w:tcBorders><w:top
ck_on.gif" /></v:shape></w:pict></w:p></w:tc><w:tc><w:tcPr><w:tcW w:type="dxa"
wsp:rsidRPr="00B55170"><w:rPr><w:sz-cs w:val="20"/></w:rPr><w:t>By checking this
box, I confirm my understanding of the
following:</w:t></w:r></w:p></w:tc></w:tr></w:tbl><w:p wsp:rsidR="0015115E"
wsp:rsidRDefault="0015115E"><w:pPr><w:pStyle w:val="BodyText"/></w:pPr></w:p><w:p
w:val="BodyText"/></w:pPr><w:r><w:t>I confirm that information provided in support
of this application, including but not limited to my resume or curriculum vitae and
the above information, is true and correct. I understand that false statements or
material omissions of any kind during the hiring process may result in denial of
employment or termination for just cause.</w:t></w:r></w:p><w:p
w:val="BodyText"/></w:pPr><w:r><w:t>I hereby authorize </w:t></w:r><w:r
wsp:rsidR="00107F37"><w:rPr><w:b-cs/><w:color w:val="000000"/><w:sz-cs
w:val="20"/></w:rPr><w:t>Amazon</w:t></w:r><w:r><w:t> to verify and investigate my
emplo</w:t></w:r><w:r wsp:rsidR="00780B76"><w:t>yment history and to collect from
</w:t></w:r><w:r><w:t>my current and former employers </w:t></w:r><w:r
wsp:rsidR="00780B76"><w:t>(whether or not nominated by me as references)
</w:t></w:r><w:r><w:t>and references information concerning my work history,
character and ability, as </w:t></w:r><w:r
wsp:rsidR="00107F37"><w:t>Amazon</w:t></w:r><w:r><w:t> deems
necessary</w:t></w:r><w:r wsp:rsidR="00780B76"><w:t>. </w:t></w:r><w:r><w:t>I
hereby release </w:t></w:r><w:r
wsp:rsidR="00107F37"><w:t>Amazon</w:t></w:r><w:r><w:t> and its affiliates and their
respective repres</w:t></w:r><w:r wsp:rsidR="00780B76"><w:t>entatives and agents
from all liability related to collecting </w:t></w:r><w:r><w:t>such information and
all other persons, corporations or organizations for furnishing such information.
</w:t></w:r><w:r wsp:rsidR="00780B76"><w:t>In this regard, I agree to sign, if
requested, all further consents,
authorizations or </w:t></w:r><w:r><w:t>releases not specified here, but which may
be required under law, to </w:t></w:r><w:r wsp:rsidR="00780B76"><w:t>allow
completion of Amazons </w:t></w:r><w:r><w:t>background check. I further agree to
hold harmless and indemnify </w:t></w:r><w:r
wsp:rsidR="00107F37"><w:t>Amazon</w:t></w:r><w:r><w:t> and its employees and agents
from and against any and all liability arising out of such background
investigations.</w:t></w:r></w:p><w:p wsp:rsidR="002449EC"
wsp:rsidRDefault="002449EC"><w:pPr><w:pStyle w:val="BodyText"/></w:pPr><w:r><w:t>I
understand that any offer of employment will be subject to a criminal record check
and signing a writt</w:t></w:r><w:r wsp:rsidR="002A58FD"><w:t>en employment
agreement and </w:t></w:r><w:r><w:t>disclosure Agreement</w:t></w:r><w:r
wsp:rsidR="00780B76"><w:t>.</w:t></w:r></w:p><w:p wsp:rsidR="002449EC"
wsp:rsidRDefault="002449EC"><w:pPr><w:pStyle w:val="BodyText"/></w:pPr><w:r><w:t>I
understand that nothing contained in this employment application or</w:t></w:r><w:r
wsp:rsidR="00780B76"><w:t> that may be communicated during
the</w:t></w:r><w:r><w:t> interview</w:t></w:r><w:r wsp:rsidR="00780B76"><w:t> and
hiring</w:t></w:r><w:r><w:t> process is intended to create an employment contract
between </w:t></w:r><w:r wsp:rsidR="00107F37"><w:t>Amazon</w:t></w:r><w:r><w:t> and
me and that no representation or promise regarding the likelihood of being hired,
the duration or the termination of employment with </w:t></w:r><w:r
wsp:rsidR="00107F37"><w:t>Amazon</w:t></w:r><w:r><w:t> is authorized or binding
unless contained in a written document signed by an officer of </w:t></w:r><w:r
wsp:rsidR="00107F37"><w:t>Amazon</w:t></w:r><w:r><w:t>.</w:t></w:r></w:p><w:p
w:val="NormalWeb"/><w:spacing w:after="0" w:after-autospacing="off" w:before="0"
w:before-autospacing="off"/></w:pPr></w:p><w:p wsp:rsidR="002449EC"
wsp:rsidRDefault="002449EC"><w:pPr><w:pStyle w:val="NormalWeb"/><w:spacing
w:after="0" w:after-autospacing="off" w:before="0" w:before-
autospacing="off"/></w:pPr></w:p><w:tbl><w:tblPr><w:tblW w:type="pct"
w:w="5000"/><w:tblLook w:val="01E0"/></w:tblPr><w:tblGrid><w:gridCol
w:w="4608"/><w:gridCol w:w="1440"/><w:gridCol w:w="3528"/></w:tblGrid><w:tr
wsp:rsidR="00EC07E9" wsp:rsidTr="00EC07E9"><w:tc><w:tcPr><w:tcW w:type="pct"
w:w="2406"/><w:tcBorders><w:bottom w:color="auto" w:space="0" w:sz="4"
w:val="single" wx:bdrwidth="10"/></w:tcBorders><w:shd w:color="auto" w:fill="auto"
w:val="clear"/></w:tcPr><w:p wsp:rsidP="00EC07E9" wsp:rsidR="00295912"
wsp:rsidRDefault="00295912"><w:pPr><w:pStyle w:val="NormalWeb"/><w:spacing
autospacing="off"/></w:pPr><w:r><w:t></w:t></w:r></w:p></w:tc><w:tc><w:tcPr><w:tcW
w:type="pct" w:w="752"/><w:shd w:color="auto" w:fill="auto"
autospacing="off"/></w:pPr></w:p></w:tc><w:tc><w:tcPr><w:tcW w:type="pct"
w:w="1842"/><w:tcBorders><w:bottom w:color="auto" w:space="0" w:sz="4"
autospacing="off"/></w:pPr><w:r><w:t></w:t></w:r></w:p></w:tc></w:tr><w:tr
wsp:rsidR="00EC07E9" wsp:rsidTr="00EC07E9"><w:tc><w:tcPr><w:tcW w:type="pct"
w:w="2406"/><w:tcBorders><w:top w:color="auto" w:space="0" w:sz="4" w:val="single"
wx:bdrwidth="10"/></w:tcBorders><w:shd w:color="auto" w:fill="auto"
autospacing="off"/><w:jc w:val="center"/></w:pPr><w:r
wsp:rsidRPr="00EC07E9"><w:rPr><w:sz-cs
w:val="20"/></w:rPr><w:t>Signature</w:t></w:r></w:p></w:tc><w:tc><w:tcPr><w:tcW
w:type="pct" w:w="752"/><w:shd w:color="auto" w:fill="auto"
autospacing="off"/><w:jc w:val="center"/></w:pPr></w:p></w:tc><w:tc><w:tcPr><w:tcW
autospacing="off"/><w:jc w:val="center"/></w:pPr><w:r
wsp:rsidRPr="00EC07E9"><w:rPr><w:sz-cs
w:val="20"/></w:rPr><w:t>Date</w:t></w:r></w:p></w:tc></w:tr></w:tbl><w:p
w:val="NormalWeb"/><w:spacing w:after="0" w:after-autospacing="off" w:before="0"
w:before-autospacing="off"/></w:pPr></w:p><w:p wsp:rsidR="002449EC"
wsp:rsidRDefault="002449EC"><w:pPr><w:pStyle
w:val="BodyText"/></w:pPr></w:p></wx:sub-section><wx:sub-section><w:p
wsp:rsidP="00107F37" wsp:rsidR="002449EC" wsp:rsidRDefault="00107F37"><w:pPr><w:jc
w:val="center"/><w:outlineLvl w:val="0"/></w:pPr><w:r><w:rPr><w:sz-cs
w:val="20"/></w:rPr><w:t>AMAZON</w:t></w:r><w:r wsp:rsidR="002449EC"><w:rPr><w:sz-
cs w:val="20"/></w:rPr><w:t> IS AN EQUAL OPPORTUNITY EMPLOYER</w:t></w:r></w:p><w:p
wsp:rsidR="00133BA5" wsp:rsidRDefault="00133BA5"><w:pPr><w:spacing w:after="200"
w:line="276" w:line-rule="auto"/></w:pPr></w:p></wx:sub-section><w:sectPr
wsp:rsidR="00133BA5" wsp:rsidSect="006037D5"><w:ftr w:type="odd"><w:p
wsp:rsidP="00107F37" wsp:rsidR="002C7004" wsp:rsidRDefault="002C7004"
wsp:rsidRPr="00107F37"><w:pPr><w:pStyle w:val="Footer"/></w:pPr><w:r
wsp:rsidRPr="00107F37"><w:t> </w:t></w:r></w:p></w:ftr><w:pgSz w:h="15840"
w:w="12240"/><w:pgMar w:bottom="1440" w:footer="720" w:gutter="0" w:header="720"
w:left="1440" w:right="1440" w:top="1440"/><w:cols w:space="720"/><w:docGrid
w:line-pitch="360"/></w:sectPr></wx:sect></w:body></w:wordDocument>

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