UBS

Americas
STRICTLY PRIVATE AND CONFIDENTIAL

Employment Application Addendum

Middle
First Name: Christy Name: Jeanne Last Name: Matthews
Preferred Name: Christy Date 1/10/2019
☐ Agency - Name of Agency ☐ Approached by UBS Line Manager
☐ Approached by UBS Recruiting ☐ Client Referral ☐ Consultant
☐ Event ☐ Job Fair ☐ Other Internet App
Please indicate how you
☐ Other Referral ☐ Public Official ☐ UBS Internet App
were referred to us. ☐ Vendor Referral ☐ Advertisement ☐ Employee Referral - Name of staff

Please complete each question to the best of your knowledge. The below questions are asked to avoid potential conflicts of interest.
Answering YES or providing additional information to any of these questions is not an absolute bar to employment.

If YES, please state the name of the UBS employee(s) & relationship to you (e.g.
Do you have any family or personal relationships with a current ☐YES spouse, domestic partner, father, sister, close friend)
employee(s) of UBS?
☐ NO Work Location(s) and Department(s) (if known)
☐ YES If YES, please provide vendor name
Have you previously provided or are you currently providing
services to UBS through a vendor, organization, contract or
individual services? Dates of service to UBS
☐ NO

To the best of your knowledge, do you have any family or personal
relationships with vendors, pending vendors, public officials or a
regulator of UBS?
If YES, what is your relationship to the vendor employee(s) or the regulator? (e.g.
spouse, domestic partner, father, sister, close friend)
☐ YES What is the name of the vendor / regulated?
Is the vendor employee(s) a public official? ☐ YES ☐ NO

If YES, public position held (if known): (e.g. regulator; county board, senator; mayor;
☐NO university board member, royal family member)

Do you have any business commitments that might affect your I have a non-solicitation agreement lasting
ability to work for UBS (such as self-employment, a contract of ☐ YES
If YES, please explain: until July 20, 2019, but this should not
employment, non-solicitation agreement, non-competition
agreement or a trade secret Agreement)? affect my ability to work
☐NO

Do you hold any positions with a company which might be a ☐ YES If YES, please explain:
potential client of, supplier to or provider of services to UBS?
☐ NO

To the best of your knowledge, do you have any family or personal
relationships with persons that are current or pending clients of
UBS?
If YES, what is your relationship to the client? (e.g. spouse, domestic partner, father,
sister, close friend
☐ YES What is the name of the vendor / regulator?
Is the client a public official? ☐ YES ☐ NO

If YES, public position held (if known): (e.g. regulator; county board, senator; mayor;
☐ NO university board member, royal family member)

Residential Address 25 Spring St. Apt. 305, Princeton, NJ 08542

Phone No. Mobile: 303-827-9523
Home: Personal Email Address christym@princeton.edu
 UBS
Americas
STRICTLY PRIVATE AND CONFIDENTIAL

DECLARATION

I certify that I am responsible for providing information relevant to this document and I certify that all answers I have given in connection with my application
for employment will be true and complete to the best of my knowledge.

I certify that the information provided in this application, my resume (if supplied), and during my interview(s) is true and complete to the best of my
knowledge. Any false or misleading statements or omissions on this application or any misinformation provided on my resume or in my interview(s) will justify
refusal of employment or, if I am hereinafter employed by UBS, termination of employment.

I understand that the information I provide will be verified via a background check and in most instances, an FBI fingerprint check and any falsification,
misrepresentation and/or omission of information regarding this information, including any failure to respond to any inquiry on this declaration, may be
grounds for cancellation of this application, withdrawal of any offer of employment or termination of my employment if I am employed and discrepancies are
subsequently discovered.

UBS is an equal opportunity employer that recruits and employs people without regard to sex, race, color, religion, age, ancestry, national origin, disability,
marital status, sexual orientation, gender identity, status as a Vietnam-era, disabled or other covered veteran, genetic information and any additional
categories protected by applicable federal, state or local laws.

Print name Christy Matthews

Signature Date (dd/mm/yy) 10/01/19