APPLICANTINFORMATIONFORM

Pleaseprovideallinformationrequested.Apartiallyfilledapplicationwillnotbeacceptedforreview.Amazonandits subsidiaries("Amazon")areequalopportunityemployers,anddonotdiscriminateonthebasisofrace,religion,creed,color, nationalorigin,citizenship,maritalstatus,sex,age,sexualorientation,genderidentity,veteranstatus,politicalideology, ancestry,thepresenceofanyphysical,sensoryormentaldisabilities,orotherlegallyprotectedstatus. Amazoncomplieswithallapplicablefederalandstatenondiscriminationlawsandregulations. CandidateFullName 1.HaveyoupreviouslyappliedtoAmazonoranyAmazonsubsidiary? Yes No IfyouansweryestoQuestion1above,pleaseidentifythecompanyandgivedate(s): 2.HaveyoupreviouslybeenemployedbyAmazon(includingAmazonsubsidiaries)? Yes No IfyouansweryestoQuestion2above,pleaseidentifythecompanyandgivedate(s)of employment: 3.Areyousubjecttoanoncompetitionagreementorotheragreementthatwould precludeorrestrictyouremploymentatAmazon? IfyouansweryestoQuestion3above,pleasedescribe: 4.IfofferedemploymentbyAmazon,wouldyoubelegallyeligibletobeginemployment immediately? 5.Doyouneed,orwillyouneedinthefuture,anyimmigrationrelatedsupportor sponsorshipfromAmazoninordertobeginorcontinueemploymentwithAmazon? Yes No Yes No Yes No

IfyouansweryestoQuestion5above,andyouarecurrentlylocatedintheU.S.pleaseindicateyourcurrent U.S.immigrationstatus/visaandtypeofsponsorshiprequired(ifknown): Current Required VisaType F1studentvisa IfcurrentlyinF1status,haveyouappliedforOptional PracticalTraining(OPT)workauthorization? Ifyes,pleaseindicatewhenyourEADapplicationwas approved,andwhenitexpires? H1BWorkersinSpecialtyOccupations PleasetellushowlongyouhaveworkedintheU.S.on H1Bvisa? PleaseprovidealldatesthatyouhaveworkedintheU.S .onanLvisa?(ifany). L1intracompanytransfereevisa PleasetellushowlongyouhaveworkedintheU.S.onan Yes No

L1visa. PleaseprovidealldatesthatyouhaveworkedintheU.S. usinganHvisa?(ifany). TNNAFTATreatystatusforCanadianorMexicancitizensp E3,andH1B1statusSpecialityOccupationsforAustralian,ChileanandSingaporean citizens AdjustmentofStatusApplicantpendingI485applicationforU.S.PermanentResident Status

IfyoucurrentlyhaveapendingI485applicationfor permanentresidentstatusbasedonsponsorshipbyan employer,doyoualsohavean approvedI140? J1exchangevisitorvisa Ifyoucurrentlyhold,orhavepreviouslyheldaJ1visa, areyousubjecttoatwoyearreturnhomeresidence requirement? OthertemporarystatusthatwillrequireAmazonto sponsoryourimmigrationstatus

Yes No

Yes No Idon'tknow

Pleaseexplain:

PendingPermanentResidence/GreenCardProcess HasanI140immigrantpetitionand/orPERMlabor certificationapplicationbeenfiledonyourbehalf?Ifso, pleaseindicatethedate(s)offilingandwhetherthe applicationorpetitionhavebeenapproved.

IfyouansweryestoQuestion5above,forthepurposesofdeterminingexportlicensingrequirements,pleaseindicate belowallcountriesofcitizenshipandresidenceandthedatesduringwhicheachwasobtained: CountriesofCitizenship(listall) UnitedStaesCitizen Dates

CountriesofPermanentResidence(listall) UnitedStates Dates

 MILITARYRECORD(ifapplicable) BranchofService(IncludingAddress) Natureofdischarge EqualOpportunitySelfIdentificationForm CompletionofthisformprovidesrequireddataforFederalgovernmentalreportingpurposesonly.AsanEqual OpportunityEmployer,Amazondoesnotusethisinformationinitsemploymentdecisions,sowhetherornotyou choosetoidentifyyourrace/ethnicityandgenderwillnotaffectyouremploymentinanyway. 1.Gender: Female Male Ichoosenottoselfidentify 2.Race/Ethnicbackground(pleasecheckoneonly): AmericanIndian/Alaska Native(notHispanicor Latino) (PersonshavingoriginsinanyoftheoriginalpeoplesofNorthandSouthAmerica, (includingCentralAmerica),andwhomaintaintribalaffiliationorcommunity recognition) Served From: To:

Asian(notHispanicorLatino) (PersonshavingoriginsinanyoftheoriginalpeoplesoftheFarEast,SoutheastAsia, ortheIndianSubcontinent,includingforexample,Cambodia,China,India,Japan, Korea,Malaysia,Pakistan,thePhilippineIslands,ThailandandVietnam) Black/AfricanAmerican(not HispanicorLatino) Hispanic/Latino (PersonsofCuban,Mexican,PuertoRican,SouthorCentralAmerican,orother Spanishcultureororigin,regardlessofrace) NativeHawaiian/Other orLatino) White(notHispanicorLatino) (PersonshavingoriginsinanyoftheoriginalpeoplesofEurope,theMiddleEastor NorthAfrica) TwoormoreRaces(not HispanicorLatino) (NonHispanicpersonswhoidentifywithmorethanoneofthefollowingfiveraces:(1) White,(2)Black,(3)Asian,(4)NativeHawaiian/OtherPacificIslander,(5)American Indian/AlaskaNative) (PersonshavingoriginsinanyofthepeoplesofHawaii,Guam,Samoa,orotherPacific (PersonshavingoriginsinanyoftheBlackracialgroupsofAfrica)

PacificIslander(notHispanic Islands)

Ichoosenottoselfidentify

Bycheckingthisbox,Iconfirmmyunderstandingofthefollowing: Informationprovidedinsupportofthisapplication,includingbutnotlimitedtomyresumeorcurriculumvitaeandtheabove information,istrueandcorrect.Iunderstandthatfalsestatementsormaterialomissionsofanykindduringthehiringprocess mayresultindenialofemploymentordischarge. IherebyauthorizeAmazontoverifyandinvestigatemyemploymenthistoryandtoinquireofmycurrentandformeremployers andreferencesinformationconcerningmyworkhistory,characterandability,asAmazondeemsnecessary.Iherebyrelease Amazonanditsrepresentativesinseekingsuchinformationandallotherpersons,corporationsororganizationsforfurnishing suchinformation.Inthisregard,Iagreetosignasaconditionofmyemploymentanyandallreleasesnotspecifiedhere,but whichmayberequiredunderlaw,toimplementthisbackgroundcheck.Ifurtheragreetoholdharmlessandindemnify Amazonanditsemployeesandagentsfromandagainstanyandallliabilityarisingoutofsuchbackgroundinvestigations. IunderstandandagreethatifIamemployed,Iwillbeemployedonanatwillbasis.Asanatwillemployee,Iunderstandand agreethateitherAmazonorIcanterminateouremploymentrelationship,atanytimeforanyreason,withorwithoutadvance noticeandwithorwithoutcause. Iunderstandthatnothingcontainedinthisemploymentapplicationorinterviewprocessisintendedtocreateanemployment contractbetweenAmazonandmeandthatnorepresentationorpromiseregardingthedurationortheterminationof employmentwithAmazonisauthorizedorbindingunlesscontainedinawrittendocumentsignedbyanofficerof Amazon.com,Inc. AMAZONISANEQUALOPPORTUNITYEMPLOYER