Please list the position(s) you are applying for as well as how you heard about the opening. Please give your most accurate start date.
Please list three (3) references with their name, phone number and relationship who we may contact on your behalf.
Please list all previous professional experience, including the organization worked for, last position with the company, as well as the time and duration of your employment.
This employer is required to notify all applicants of their rights pursuant to federal labor laws.For further information, please visit this link from the Department of Labor: https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm. You may have additional rights pursuant to recent amendments to federal labor laws. Please review these protections from the EEO is the Law Supplement by visiting the following link: https://www.eeoc.gov/employers/upload/eeoc_gina_supplement.pdf.
This employer is subject to certain nondiscrimination and/or affirmative action recordkeeping and reporting requirements which require the employer to invite applicants to voluntarily self identify their race/ethnicity and gender.
This employer is a Government contractor required to take affirmative action to employ and advance in employment protected veterans pursuant to the Vietnam Era veterans Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002.Government contractors are required to take affirmative action to employ and advance veterans in employment (see descriptions below): 1. Disabled veterans; 2. Recently separated veterans; 3. Active duty wartime or campaign badge veterans; and 4. Armed Forces service medal veterans. We are also required to submit an annual report to the U.S. Department of Labor identifying the number of our employees belonging to each specified -protected veteran category.
1.Disabled Veterans: A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs;or a person who was discharged or released from active duty because of a service connected disability.
2.Recently Separated Veterans: Any Veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military,ground, naval or air service.
3.Active Duty Wartime or Campaign Badge Veteran: A veteran who served on active duty in the U.S. military ground, naval, or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
4.Armed Forces Service Medal Veterans: Any veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.
Form CC-305OMB Control Number 1250-0005Expires 1/31/2020
Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities.  To help us measure how well we are doing,we are asking you to tell us if you have a disability or if you ever had a disability. Completing This form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.
If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.
You are considered to have a disability if you have a physical or mental impairment or medicalcondition that substantially limits a major life activity, or if you have a history or record of suchan impairment or medical condition.Disabilities include, but are not limited to:
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job orto perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.
 Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) websiteat www.dol.gov/ofccp.
PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB number. This survey should take about 5 minutes to complete.