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JOB APPLICATIONTitle
The job application is a simple 3 step process:
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SELF-IDENTIFICATION DETAILSForm CC - 305
OMB Control Number 1250 - 0005
Expires 04/30/2026
Why are you being asked to complete this form?
We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential.
Voluntary Self-Identification of DisabilityDefinitions
This employer is a Government contractor subject to the Vietnam Era Veterans' Readjustment Assistance Act of 1974, as amended (VEVRAA) which requires Government contractors to take affirmative action to employ and advance in employment: (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans.
Protected veterans may have additional rights under USERRA-the Uniformed Services Employment and Reemployment Rights Act. For more information, call the U.S. Department of Labor's Veterans Employment and Training Service (VETS), toll-free, at 1-866-4-USA-DOL.
Reasonable Accommodation Notice
If you are a disabled veteran, please inform us of any accommodations that would enable you to perform the essential functions of the job. This information is voluntary and will be kept confidential.
Self-Identification
Please check one of the boxes below:
Yes, I have a disability, or have had one in the past
No, I do not have a disability and have not had one in the past
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