* Are you currently employed?
* What type of job are you seeking?
* What day(s) and time(s) are you available for work?
* For the position in which you have applied, how many years of relevant experience do you possess?
* In regards to the required qualifications for this position, please select which statement applies to your credentials:
* Are you an Active Duty Military Service Member?
* If you answered yes, are you in the process of separating from active duty military service or expect to do so in the near future?
* Are you currently employed as Federal/ Government service (GS) worker?
* If yes, are you willing to resign from Federal/ Government Service (GS) employment if extended an offer of employment for the position in which you are applying?
* Do you currently or have you previously provided services on a federal government contract?
* Has it been "more" than two (2) years since you have separated from a position in which a government security clearance was required?
Equal Employment Opportunity (EEO) Survey
Our organization is firmly committed to the principles of equal employment opportunity. All employment-related decisions are made without regard to race, ancestry, color, religion, gender, age, marital status, medical condition, disability, national origin, veteran status or any other basis protected by law. The federal government requires that an employer maintain records on the sex, ethnic group and veteran status of its applicants. See Uniform Guidelines on Employee Selection Procedures, 29 C.F.R. 1607 et seq., 41 C.F.R. 60-3.1 et seq. (178). In order to comply with these requirements, we respectfully request that you supply the information requested to assist us in satisfying our obligations under federal, state and local employment laws. Your response to the Equal Employment Opportunity Survey is voluntary, but is greatly appreciated and in no way affects employment decisions. The information you provide is confidential and is maintained separately from any records related to your employment application. We thank you in advance for your cooperation.
Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)- A person having origins in any of the original peoples of North and South American (including Central America), and who maintains tribal affiliation or community attachment.
Black or African American (Not Hispanic or Latino)- A person having origins in any of the Black racial groups of Africa.
Hispanic or Latino- A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
Asian (Not Hispanic or Latino)- A person having origins in any of the original peoples of the Far East, South Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
White (Not Hispanic or Latino)- A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)- A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
Two or More Races (Not Hispanic or Latino)- All persons who identify with more than one of the above five races.
Veteran Status: (Please check all that apply)