1. I hereby certify that my answers to the following questions are true and complete in all respects. I understand and agree that any misleading or incorrect statements or the incomplete filling out of this questionnaire will be considered sufficient cause for denial of employment.: Yes No
2. Do you have a bachelor's degree from a four (4) year institution?: Yes No
3. This position has a non-negotiable starting salary of $68,700.06 with benefits and a company car (the IRS requires employers to include the personal use of a company vehicle as taxable income). Some territories may be eligible for an additional pre-determined, non-negotiable compensation based on location. Are you willing to accept this starting salary?: Yes No
4. It is highly likely that this position will require relocation outside of your current location. Are you open to relocation? Please Note: Relocation assistance is available for those who may qualify, which includes the moving of household goods; however this does not include assistance with the selling of a home or buy-out of a current lease.:-- Please Select -- Yes No Maybe
5. Will you now or in the future require sponsorship for an employment visa to begin employment or continue employment with the company? For purposes of this question “sponsorship for an employment visa” includes, but is not limited to, an H-1B visa petition, O-1 visa petition, and E-3 visa petition, or TN status. Recipients of DACA with active EAD should answer “no” to this question as you will not require sponsorship. If you have non-immigrant status (e.g., F-1), your answer to this question should be “yes.” Please ask us if you are uncertain whether you may need immigration sponsorship or desire clarification.: Yes No
6. Are you at least 21 years of age or older?: Yes No
7. Do you have any objections working in the tobacco industry?: Yes No
8. Are you comfortable endorsing and selling tobacco products to adult consumers?: Yes No
9. I agree and understand that I will be exposed to occasional second-hand smoke in meetings, trainings and company vehicles.: Yes No
10. Do you have a valid U.S. driver’s license?: Yes No
11. Are you currently authorized to work in the United States on a full-time basis without restriction?: Yes No
12. If not, please describe your work authorization status (i.e., H1B, TN, O-1)?:
13. Are you currently employed or have you ever been employed at one of the following companies: Reynolds American Inc., American Snuff Company, LLC, KBio Inc., British American Tobacco P.L.C., R. J. Reynolds Tobacco Company, Santa Fe Natural Tobacco Company, Inc., RAI Services Company, Reynolds Marketing Services Company, R.J. Reynolds Vapor Company, BTomorrow Services, Inc., Reynolds Brands Inc., Modoral Brands Inc., Lorillard Licensing Company, LLC, or any other current or prior affiliate or subsidiary of Reynolds American, Inc. or British American Tobacco P.L.C.?: Yes No
14. Have you ever provided services to Reynolds American Inc., American Snuff Company, LLC, KBio Inc., British American Tobacco P.L.C., R. J. Reynolds Tobacco Company, Santa Fe Natural Tobacco Company, Inc., RAI Services Company, Reynolds Marketing Services Company, R.J. Reynolds Vapor Company, BTomorrow Services, Inc., Reynolds Brands Inc., Modoral Brands Inc., Lorillard Licensing Company, LLC, or any other current or prior affiliate or subsidiary of Reynolds American, Inc. or British American Tobacco P.L.C., as a contractor or employee of another company?: Yes No
15. If yes, please explain.:
16. I understand that any offer of employment will be conditioned on the successful completion of the Company’s normal background check, including the verification of all information obtained by the Company in conjunction with my application for employment, a post offer medical certification by a Company approved physician, which may include successful completion of a pre-employment substance abuse test, and verification of my employability under U.S. immigration laws.: Yes No