aa***.taleo.net

GUI MTOWTOU Vy WIG VINO UTE CUUTA VUTTT AU GUTTIPHaniue

Programs, or enforcing the Americans with Disabilities Act, may

be informed.

Gender*

Male

Lo)

Ethnicity/Race™

Black or African-American S

Disability*

Yes S

Protected Veteran”

Lo)

lam not a Protected Veteran

VOLUNTARY SELF-IDENTIFICATION OF DISABILITY

Form CC-305

OMB Control Number 1250-0005

Page 1 of 1

Expires 04/30/2026

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.

People can become disabled, so we need to ask this question at

least every five years.

LD

Reamnlatinn thic farm to vwaliintams and von Anna that wrars valli

Contact this candidate