Hewlett Packard Enterprise U.S. Federal, State, LocalGovernment

Employment History Questionnaire

Thank you for your interest in employment with Hewlett Packard Enterprise. As you know, your desire to enter into discussions with HPE for possible employment must be reported to your appropriate government agency prior to any contact with HPE.

It is Hewlett Packard Enterprise’s policy to comply with the applicable regulations and laws that impose certain restrictions regarding the hiring and employment of current or former U.S. Federal (including military), State or Local Government or U.S. public educational institution employees (NOTE: excludes students that are part-time U.S. public educational institution employees UNLESS part-time responsibilities include purchasing IT products or services.). Accordingly, HPE will not conduct any employment discussions until a determination has been made that you are in compliance with the regulations that require you to notify your agency ethics officer and request an ethics officer’s opinion, if appropriate to your position and agency, and to complete and submit the following questionnaire.

Please stop here if:

  • you are a current government employee and have not communicated your intentions to your appropriate agency ethics officer and/or
  • you are a government procurement official involved in a pending procurement activity in any way affiliated to HPE or its interests

If you are a current government employee or procurement official and have notified your ethics officer in writing, or if you are a formergovernment employee (within the last five years), please proceed by completing the following questionnaire and attach the completed questionnaire, and, your ethics officer opinion (if you have it at this time), to your profile along with your resume.

To attach the completed questionnaire to your profile: Go to select submit/update your profile. On page 2 of your application, you will find the Attach Files section, where you can select Browse to find the location of this questionnaire and attach it, your ethics officer’s opinion/letter, and any other relevant documents to your application.

Current Government Employees: Begin with Section I and complete entire questionnaire

Former Government Employees: Complete Sections II and III

Section I – Verification of Standing (if a Current Government Employee)

I, hereby acknowledge that I am a current government employee and that I have communicated my interest in employment with Hewlett Packard Enterprise to my appropriate ethics officer, known as:

Name of Ethics Officer:

Formal Title/Agency:

Telephone #:

Email Address:

Further, I hereby acknowledge, by checking this box (to the left), that I am not a current government procurement official involved in any pending or active procurement activity.

Section II – Verification of Prior or Current Government Role/s

1. Employing Agency:

Sub-Agency or Department:

Position Held:

Date of Hire: Date of Separation:

Reason for Leaving:

Current or most recent Salary and Grade level:

Highest government Salary and Grade level (in last five years):

Description of Job Duties:

2.Do you have an official written description of your assigned job responsibilities?

YESNO

If so, please provide.

  1. Are you a current or former (within the last two years) Department of Defense (DoD) official who participated personally and substantially in an acquisition, or contract, with a value in excess of $10M while serving 1) in an Executive Schedule position, Senior Executive Service, or general or flag officer positions, or 2) in any of the following DoD positions: program manager, deputy program manager, procuring contracting officer, administrative contracting officer, source selection authority, member of a source selection evaluation board, or chief of a financial or technical evaluation team?

YES NO

  1. Were you involved in any matters in which HP had or has a financial interest?

YESNO

If yes, please describe in detail:

If yes, have you obtained a waiver and/or disqualified yourself from participation in thatmatter?

YESNO

If yes, please provide a copy of all appropriate documentation.

  1. Did you have any procurement responsibilities in any matter in which Hewlett Packard Enterprise or any of its affiliates was a bidder or participant?

YESNO

  1. Have you acted in the capacity of a “procurement official” for a U.S. Federal or State or Local Government within the last 15 years?

YESNO

If yes, please describe the precise duties and time spent in the role(s) below: (Please include - Role Title/ Rank & Grade/ Dates of Duty)

7.Were any of your procurement duties related to Hewlett Packard Enterprise or the industries in which HPE does business?

YESNO

If yes, please describe the precise duties and relevance to Hewlett Packard Enterprise:

8.Do you maintain any personal relationships with any current government procurement personnel that might present a conflict of interest or the appearance of a conflict of interest?

YESNO

If yes, please describe the nature of the relationship(s) below.

Section III - Affirmation and Acknowledgment Regarding Prior Government or Military Service

I, , by checking the box below, hereby affirm that I have fully disclosed the relevant facts and details of my present and/or former government or military service to Hewlett Packard Enterprise ("HPE") as a condition of my employment. I understand that an intentional omission or misrepresentation of a material fact concerning my present or former government or military service may lead to disciplinary action, up to and including immediate termination. I further affirm that I have disclosed and discussed with Human Resources any and all post-employment restrictions that I am aware apply to me.

I understand that it is Hewlett Packard Enterprie’s policy to scrupulously comply with all government rules and regulations regarding the hiring of current and/or former government or military personnel. I agree to abide by that policy and to ensure that my assigned job duties do not conflict in any way with any restrictions which may apply as a result of my former government or military service. I further agree to immediately inform my supervisor of any conflicts of interest, actual or potential, that might arise during my employment with Hewlett Packard Enterpise. I hereby acknowledge that I have completed this form to the best of my ability and that the information provided is accurate and complete.

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