INTEL STAFFING

Experienced Pre-Screen Questionnaire

Candidate Name:______Date:______

When you have completed this questionnaire, please save it in the following File Name format: LastName_FirstName_HRPRESCREEN_Date

1. Have you ever been contacted by an Intel Recruiting Representative?

____Yes – Please indicate contact’s name:______

____No

2. Have you previously interviewed with Intel?

____Yes

____No

3. Are you currently scheduled for an interview?

____Yes – Please indicate name of position or requisition number:______

____No

4. Have you ever received an offer for employment from Intel?

____Yes

____No

5. Select one of the following to indicate your availability:

____Immediately to 6 weeks

____7 weeks to 3 months

____4 to 6 months

____Over 6 months

6A. Do you currently work for a company that has a business relationship with Intel? If your answer is no, skip to question 7.

____Yes

____No

6B. In the past 12 months, have you personally conducted business with individuals from Intel, worked on Intel specific projects, or produced products or services sold directly to Intel?

____Yes

____No

7. Have you ever worked for Intel Corporation? If yes, please indicate the type of employment.Select all that apply.

____Intern/Summer/Coop

____Regular Full-time

____Intel Contract Employee (ICE)

____Contractor (Green Badge)

____I have never worked for Intel Corporation

8. Are you bound by any contract or agreement with your current employer (or other company), such as a non-competition agreement, that might impact or interfere with your availability to work for Intel?

____Yes

____No

9. Please designate your US worker status as 'A' or 'B'.All candidates fall into only one category; it is critical that you answer this question correctly.

___A) US Citizen or National; Permanent Resident; Refugee; Granted Asylum; or Temporary Resident.
___B) Other (includes nonimmigrant visa status such as B, L, H, TN, F, J, OPT, EAD).

  • If your answer to item 9 is 'B' (Other), what is your country of citizenship?
  • If your answer to item 9 is 'B' (Other), are you located outside of the U.S.?
  • If your answer to item 9 is 'B' (Other) and you are in the U.S., what is your visa status (such

as B, L, H, TN, F, J, OPT, EAD)?

  • If on H visa, when does your visa expire?
  • If you have an EAD, is it through F-1 OPT or due to a pending I-485?
  • If your EAD is through OPT, please provide the expiration date.
  • If you are an F-1 student, please provide your expected date of graduation and whether you will

be eligible for OPT.

Please note that an offer of employment by Intel is conditioned upon approval by the Bureau of Export Administration, U.S. Department of Commerce.

10. Please provide a brief description of the following:

a) your area of interest:

b) your degree or focus area(s) as applicable:

c) your technical strengths:

d) your current GPA:

(if you are a current student or graduated within the last 18 months)

11. Please indicate your current salary range:

____$40,000 - $50,000

____$50,001 - $65,000

____$65,001 - $75,000

____$75,001 - $85,000

____$85,001 - $90,000

____$90,001 - $110,000

____$110,001 - $125,000

____$125,001+

12. In which Intel locations are you interested in working? Indicate all that apply.

____Phoenix, AZ

____Folsom, CA

____Santa Clara, CA

____Hudson, MA

____Albuquerque, NM

____Portland, OR

____Austin, TX

____Fort Collins, CO

____Columbia, SC

____Dupont, WA

____Other (Please specify :______)

13. Indicate all the appropriate ways for Intel to contact you:

____Work e-mail

____Personal e-mail

____Home Phone - between hours of 5:00pm - 9:00pm

____Cell Phone - between hours of 8:00am - 5:00pm

____Cell Phone - between hours of 8:00am - 9:00pm

____Work Phone - between hours of 8:00am - 5:00pm

____Anytime/method (phone or e-mail)

14. How did you learn about the position with Intel?

___Intel.com

___CareerBuilder.com

___Dice.com

___Monster.com

___Yahoo HotJobs

___Other Website:______

___Intel Employee:______

___Newspaper Ad:______

___Magazine Ad:______

___Conference/Career Fair:______

___Contact by Intel Recruiter - Recruiter Name:______

When you have completed this questionnaire, please save it in the following File Name format: LastName_FirstName_HRPRESCREEN_Date

Intel Corporation

Intel Staffing Prescreen-Experienced

022409

LMH