PERSONAL DATA
Last Name First MI
Street Address
EMPLOYMENT ELIGIBILITY
In accordance with federal law, all individuals hired by Freddie Mac must present to Freddie Mac documents establishing United States
citizenship or authorization to work in the United States. Are you authorized to work indefinitely in the United States?
q Yes q No
Is your eligibility to work or to continue to work in the United States contingent on employer sponsorship?
q Yes q No
EDUCATIONAL BACKGROUND
High School
Address (City/State)
College/Technical School
Address (City/State)
Major(s)
Degree(s)/Certifications Awarded
May 2008
College/Technical School
Address (City/State)
Major(s)
Degree(s)/Certifications Awarded
Position(s) Held
Additional Compensation (e.g. Overtime, stock options, etc.—describe and indicate value)
Position(s) Held
Additional Compensation (e.g. Overtime, stock options, etc.—describe and indicate value)
Dates of Employment From To
Position(s) Held
Additional Compensation (e.g. Overtime, stock options, etc.—describe and indicate value)
Reason for Leaving
Are (or were) you, your spouse, domestic partner, child, dependent, or sibling a partner, principal, shareholder or professional employee
of Freddie Mac’s current Outside Auditor?
q Yes q No
Within the preceding three years, did you participate in any manner in an external accounting audit of Freddie Mac?
q Yes q No
2. Employment Restrictions
Are you subject to any agreement with any other entity that may restrict your ability to work for or recruit on behalf of Freddie Mac?
Please include employment or confidentiality agreements, stock option and restricted stock agreements, and/or covenants not to
compete. If yes, please provide to us copies of all such agreements.
q Yes q No
Have you ever rendered services to Fannie Mae in any capacity, including in the capacity as a consultant or contractor?
q Yes q No
Have you been employed by a federal, state, or local government entity during the past five years?
q Yes q No
If yes, did you or that entity have responsibility for matters pertaining to Freddie Mac’s business operations or lines of business?
q Yes q No
Have you ever rendered services to Freddie Mac in any capacity, including as a consultant or contractor?
q Yes q No
4. Conflicts of Interest
Do you have any confidential information, trade secrets or other proprietary information which you obtained as a result of your
employment with another employer or otherwise, which may relate to your position if employed by Freddie Mac? Note: Freddie Mac
strictly prohibits its employees from misappropriating another’s trade secrets and/or proprietary information.
MILITARY SERVICE
Have you served in the United States military? q Yes q No
Length of Service From To
REFERENCES
Other Name(s) Under Which Previous Employment/Education May Be Listed: (e.g. maiden name)
Name Dates
Name Dates
Professional References (Please list the names of all managers that supervised or evaluated your work.)
Employer/Title
Address
Email Address
Employer/Title
Address
Email Address
Employer/Title
Address
Email Address
4. Name Telephone Number ( )
Employer/Title
Address
Email Address
CRIMINAL RECORD
Have you ever been convicted of a felony or misdemeanor (including all moving vehicle convictions such as speeding, DUI/DWI, or reckless
driving), OTHER THAN (1) parking tickets; (2) convictions for marjuana-related offenses that occurred more than two years ago; (3) offenses for
which you were referred to, and participated in, any pretrial or posttrial diversion program; and (4) offenses that have been sealed by the court
or have been expunged from your record.
q Yes q No
If “yes,” please explain:
AUTHORIZATION
I authorize Freddie Mac or its authorized agents to verify all information I provide in connection with my application, including any information related
to my employment history, salary history, education, and references. Furthermore, I authorize Freddie Mac or its authorized agent to conduct a
criminal background check, social security number verification and illegal drug screen on me. In the event that Freddie Mac is considering me for
employment in a position Freddie Mac deems high risk, I further authorize Freddie Mac or its authorized agent to conduct a credit check on me.
I understand that my eligibility for employment or continued employment with Freddie Mac will be contingent upon verification of the information
I have provided to Freddie Mac as part of this application or otherwise in the hiring process, and upon Freddie Mac’s satisfaction with information
it learns.
I release Freddie Mac and its employees and agents from any and all liability associated with obtaining such information. I also release former
employers, educational institutions, and any other entity or individual from any and all liability arising from or related to information provided to
Freddie Mac regarding me.
I affirm that, to the best of my knowledge and belief, the information I have disclosed on this application, or in any resume I have submitted, is true,
correct, complete, and made in good faith. I understand that in the event Freddie Mac discovers at any time that any information contained in this
application or on a resume I have submitted is false, or that I have failed to give complete responses to the questions asked on this application, any
offer of employment extended to me may be withdrawn or, if already employed, my employment may be terminated.
I understand that if employed by Freddie Mac, my employment will be “at-will” unless Freddie Mac and I enter into a written contract of employment
for a specified period. Therefore, Freddie Mac may terminate my employment at any time, with or without cause and with or without prior notice
to me. I understand that nothing contained in this application, nor any oral representations made to me by Freddie Mac, constitutes a contract of
employment between me and Freddie Mac.
Signature Date
DEMOGRAPHIC INFORMATION
Freddie Mac Values Diversity:
We consider all applicants for all positions without regard to race, color, religion, sex, sexual orientation, age, national origin, physical or
mental disability, veteran status, marital status, ethnicity and all other protected categories under applicable federal, state or local laws. We are
committed to diversity in the workplace. And we are committed to sustaining an environment where all employees can feel valued, respected
and able to contribute to their fullest potential regardless of visible and invisible similarities or differences.
Thank you.
GENDER
Check One:
q Male q Female
RACE/ETHNICITY
Check Category A or Check One Category Under B:
A.
q Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.
B.
q White
A person having origins in any of the original peoples of Europe, the Middle East or North Africa.
q Asian
A person having with origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent, including,
for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippines Islands, Thailand, and Vietnam.