TEXAS INSTRUMENTS WAFER FAB VERIFICATION FORM Thank you for your interest in Wafer Fab Technician job opportunities at Texas Instruments. Completion of this verification form is the first step for technician employment consideration. Once your verification form and resume are received, you will be considered for pre-employment testing. Only the most qualified top candidates will be selected for this testing. Testing is also mostly limited to candidates qualified for a current opening. Candidates that are selected for testing must meet the minimum requirements of the pre-employment exams to apply for Wafer Fab Technician employment at Texas Instruments. Selected candidates are encouraged to prepare for the exam. To help candidates prepare, a test description is posted on the Internet at http://www.ti.com/recruit/docs/techhome.shtml Texas Instruments Wafer Fab Technician employment candidates are also required to meet the minimum educational requirements of a completed Associates degree or a completed superior degree or have the equivalent job related military training. Candidates must be able to present documentation such as a diploma, final transcripts, or military release papers such as a DD214 to the staffing department before taking technician pre-employment exams. Once you have completed this form you should save it and then e-mail it along with a copy of your resume to techresume@list.ti.com. If any information changes you are encouraged to make changes to this form and resubmit the document along with a copy of your resume. Candidates with AOL addresses should not send their resume and this form together but send only one attachment at a time. We are excited that you are interested in technician employment opportunities. Please complete this verification form and return it along with a copy of your resume soon. Please complete this form in its entirety. For fields with check boxes, type ‘x’ to select or click on the field to clear selection. Many drop down selections have default answers that you may choose to change. FULL NAME (Including middle name): Have you ever worked for Texas Instruments? ____ If yes, what is your Texas Instruments Employee number? : You may choose to provide your social security number If you are a previous Texas Instruments Employee and it is not possible to locate your employee number. Email address: Secondary Email address: Please list all phone contact information: Best number(s) to be contacted at: Home: Cell: Work: Pager: Home Cell Work Pager Regardless of the outcome of current opportunities, we would like to have the ability to contact you in the future. We would like a way to get in touch with you in case you move or change contact information. This contact could be a phone number, an e-mail address, or even the contact information of a relative. What would be the best long-term method for Texas Instruments to contact you? Education: Associates Program Graduate No Bachelors Program Graduate No Masters or PhD Program Graduate No If Yes to Associates, Bachelors, Masters, or PhD Graduate complete for highest degree attained: School: Major: Degree: GPA: Military Training: Please list relevant Military Electronics Training: If you have military service could you supply a copy of your DD214? N/A Technician Educational Requirements Note: Texas Instruments Wafer Fab Technician employment candidates are required to meet the minimum educational requirements of a completed Associates degree or a completed superior degree or have the equivalent job related military training. Candidates must be able to present documentation such as a diploma, final transcripts, or military release papers such as a DD214 to the staffing department before taking technician pre-employment exams. Please continue to the next page Presently Employed: ____ Present or last employer: Present or last title: Why leave present or last employer? Job function: Do you have a non-compete agreement with your present or last employers who might limit your work at TI? ____ Job Type Desired: Technician Process Tech Equipment Tech Product Tech other Tech, pls list Test Tech Manufacturing Supervisor Section Manager other, Please list Engineering Process Engineering Equipment Engineering other, Please list Other other, Please list Semiconductor industry experience: (please check all that apply and indicate years of experience with each) Recent Graduate Diffusion, years Quality, years Test, years Thin Films, years Failure Analysis, CMP, years Photolithography, years Probe, years Etch, years No Semiconductor Industry Experience Implant, years Other, please indicate years List semiconductor equipment and technologies that you have experience with - please list equipment tool sets along with descriptions of the technologies you have experience with. (i.e. TEL Mark 8, Cannon i5, LAM, KLA, Hitachi SEM, Copper, BiCMOS, etc) Please do not respond with “See attached resume”. Please indicate the TI fab locations you would like to consider and would be willing to relocate to: For additional information about these sites visit: Dallas http://www.ti.com/recruit/docs/us/dallasmetroplex.shtml Sherman http://www.sh.sc.ti.com/site.asp OR http://www.ti.com/recruit/docs/us/sherman.shtml Stafford/Houston http://www.ti.com/recruit/docs/us/stafford.shtml Tucson http://www.ti.com/recruit/docs/us/tucson.shtml Other Please list other locations of interest: Compensation We will make best use of your time if we understand your current and expected compensation. This information will not be used in considering your qualifications for the job but only so we can determine if our opportunities might interest you. Your most recent or current salary information helps us to determine equity within our compensation structure and not your market worth. Texas Instruments has always been fair in its offer to the right candidate. Current Salary: Technicians or other non exempt positions Hourly Base: Bonus: Other: Engineers, Manufacturing Supervisors, and other exempt positions Exempt Base Salary: Bonus: Other: Salary Expectations: Please continue to the next page Work Schedule/Shift Most Engineers will work a 1st shift schedule but technicians and supervisors will most often work compressed schedules. A large portion of new openings for technicians and supervisors will be for compressed B and C night shift positions. Please indicate all shifts you are willing to work: 1st (7:30am - 4pm) 2nd (3:30pm – 12midnight) 3rd (11:30pm – 8am) A (7am - 7pm SMT/W) B (7pm - 7am S/SMT) C (7am - 7pm W/RFS) D (7pm - 7am WRF/S) ANY SHIFT Of the shifts that you are willing to work, what is your desired shift? – Alternative Employment Consideration Contract employment offers Texas Instruments flexibility in staffing and offers candidates an opportunity to gain experience at a world-class organization. As with any job, there are no guarantees but contract employment opportunities at Texas Instruments could be long term and could turn into a regular position with Texas Instruments baring any unforeseen circumstances. Would you like for Texas Instruments to share your resume with our contract employment vendors? No OTHER ISSUES: Are there any issues that would prevent you from joining Texas Instruments? If yes, please explain: Have you had any contact with a representative of Texas Instruments? If yes, when: With Whom: ____ ____ Have you ever taken the Texas Instruments Technician Test (Pre-employment or GenTech)? ____ If YES, When: To All Candidates, please answer the following questions: 1. Are you a U.S. citizen, U.S. national, lawful permanent resident, lawful temporary resident, asylee, or refugee? ____ If your answer is “YES” do not answer questions 2-6. If your answer is “NO” please answer questions 2-6. 2. What is your current non-immigrant status? Please indicate: N/A If your answer is “other” please specify When does this status expire? If your answer is “H-1B”, how much of the six years of H-1B eligibility have you used? . Are you currently residing outside of the U.S.? N/A 3. Do you have an Employment Authorization Document? N/A When does it expire? 4. Have you applied for an Employment Authorization Document? N/A If yes, when did you apply? Are you willing to let TI apply on your behalf to obtain temporary authorization for you to work in the United States, if necessary? N/A Do you want to try to obtain permanent authorization to work in the United States by becoming a U.S. citizen, U.S. national, lawful permanent resident, lawful temporary resident, asylee, or refugee? N/A 5. Are you, or have you ever been, a citizen of any of the following countries? Iran, Iraq, North Korea, Libya, Cuba, Syria (It may be very difficult to obtain an ECL for these.) or Afghanistan, Romania, Angola, Russia, Armenia, Kazakhstan, Rwanda, Azerbaijan, Serbia, Albania, Kyrgyzstan, Sudan, Belarus, Laos, Bulgaria, Latvia, Tajikstan, Burma, Turkmenistan, Cambodia, Lithuania, Ukraine, China(PRC), Macau, Uzbekistan, Moldova, Vietnam, Estonia, Mongolia, Georgia, Montenegro N/A 6. What is your latest, current citizenship? After completing this form in its entirety, please save your completed form and e-mail it along with a copy of your resume to the Texas Instruments representative that provided you with this form. If any information changes you are encouraged to make changes to this form and resubmit the document along with a copy of your resume. Technician candidates that found this form on the Internet should forward the completed form to techresume@list.ti.com . Candidates with AOL addresses should not send their resume and this form together but send only one attachment at a time. SEE THE FOLLOWING WEB SITE FOR INFORMATION ABOUT TI: http://www.ti.com/