Interest and Availability Information

Please complete the following form to be considered for Intel Finance op

updated 9/15/14

Applicant Information
Full Name: Nayak

Arjun

Last

First

City / State: Iowa City

City

Email: arjunnayakakash@gmail.com
School: University of Iowa

Degree Expected:

Major:

Expected Grad Date: May-16

If you were to receive an offer with Intel, what sites would you consider for employment? Ple
locations in order of preference (1 thru 4). If you are not willing to relocate to a specific site,
information about the various Intel sites, please review the information at http://www.intel.com

Chandler, Arizona

Folsom, California

Santa Clara, California

Hillsboro, Oregon

Do you have any interviews scheduled, or invitations to interview, with any other Intel sites/ g
have you in the past?
If Yes, at which site/campus/conference?
What Group?
Name of the Interviewer/ Contact?

What Dat
What was the

INTEL TECHNOLOGY TRANSFER CONTRO

SPONSORSHIP QUESTIONNAIRE

For Use by Finance Recruiting and Other Non-Engineering positio

As a matter of business need, Intel inquires about the U.S. work authorization status of appli
general, Intel hires only candidates who possess ongoing, unlimited work authorization. Exce
positions where there is a shortage of qualified U.S. workers. Shortages occur most typically
technology professions.

In addition, Intel works in technology areas that are subject to export controls by the United S
obtain authorization from the Bureau of Industry and Security, U.S. Department of Commerc
nationals from certain countries.

This questionnaire is designed to assist Intel in determining whether applicants are subject to
whether Intel might be required to apply for an export license on your behalf.

Question 1: As of today's date, are you one of the following?

- Citizen or national of the United States;

Yes

Lawful permanent resident of the United States; (Note: Only having an appli
status pending requires a NO answer.)

A person granted refugee status; (Note: Only having public interest parole, h
temporary projected status requires a NO answer.)

A person granted asylum status; (Note: Only having an asylum application p

answer.)

NOTE: Individuals in nonimmigrant visa status such as B, L, or H visa status should a

If you answer NO to question 1, please be sure to complete the remainder of this form,

Question 2: If your answer to Question 1 is NO, but you claim that you have authorization to
a full-time basis, please explain specifically the basis of your authorization to work. (For exam
employment authorization document (EAD)? If you have a work visa, what is your current vis

F-1

H-1B

J-1

L-1

TN

EAD

Visa/work authorization: Start Date: 9-May-14

Check if applicable: Optional Practical Training

Expiration Date: 7-May-19

Curricular Practical Tra

Question 3: If your answer to question 1 is NO, what is your country of Citizenship?

I CERTIFY THAT THE INFORMATION SUPPLIED IS TRUE AND CORRECT

Arjun Nayak
CANDIDATE SIGNATURE

ation Form

inance opportunities

V
M.I.

Iowa
State

Phone: 319-855-0997

pected: MBA
Example: BA, MA, or MBA

16

Current GPA: 3.9

ment? Please rank the following

ecific site, please leave blank. For more
w.intel.com/jobs/workplace/index.htm.

tel sites/ groups, or

What Date?

t was the result?

No

NTROL & VISA

AIRE

ing positions

us of applicants for employment. In

ation. Exceptions may be made for
st typically in the engineering and

e United States government. Intel must

Commerce, before employing foreign
subject to immigration sponsorship and

No

g an application for permanent resident

st parole, humanitarian parole, or

plication pending requires a NO

should answer NO.

his form, including question 3.

orization to work in the United States on

(For example, do you have an
current visa status?)

EAD

Other

actical Training

India

15-Sep-15
DATE