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EEO Application Identification

To the Applicant:

IntelliDyne, LLC is a government contractor subject to Executive Order 11246, as amended, the Vietnam Era Veterans Readjustment Assistance Act of 1974 and section 503 of the Rehabilitation Act of 1973, which requires IntelliDyne to take affirmative action to employ and advance in employment minorities, women, and qualified individuals with disabilities, qualified disabled veterans and veterans of the Vietnam Era. In addition, IntelliDyne is an Equal Opportunity Employer and, as such, conducts all employment-related activities without regard to unlawful consideration of race, national origin, gender, disability, age, religion or any other legally protected category.

As a federal government contractor or subcontractor, IntelliDyne is required to track certain information about its job applicants. In order to assist IntelliDyne in its compliance with these various government record keeping and recording requirements, we ask that you voluntarily provide us with the information below. The information below will help us meet our reporting requirements. It will not be used for any unlawful purposes. Your submission of this information, or refusal to provide it, will not affect your application for employment nor be used to make unlawful employment decisions. Your application will be considered in the same manner whether or not you complete this form. The information provided will be kept confidential, except as required or permitted by law, and maintained separately from your application and your main personnel file. Your participation is entirely voluntary and greatly appreciated.

Categories:
 
I. Race/Ethnicity
 
(1) White (not of Hispanic origin) – A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
(2) Black – A person having origins in any of the black racial groups of Africa
(3) Hispanic – A person of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish culture or origin, regardless of race.
(4) Asian or Pacific Islander – A person having origins in any of the original peoples of the Far East, Southeast Asia, the Indian subcontinent or the Pacific Islands. This includes China, Japan, Korea, the Philippine Islands and Samoa.
(5) American Indian or Alaskan Native – A person having origins in any of the original peoples of North America and who maintains cultural identification through tribal affiliation or community recognition
(6) Other

II. Please indicate if you belong to any of the groups listed below.
 
(1) Special Disabled Veteran
  1. A veteran who is entitled to compensation under laws administered by the Department of Veterans Affairs for a disability (a) rated 30% or more, or (b) rated 10% or 20% if it has been determined that the individual has a serious employment disability; or
  2. A veteran who was discharged or released from active duty because of a service-connected disability
(2) Vietnam Era Veteran
  1. Served in the military, ground, naval or air service of the U.S. on active duty for a period of more than 180 days and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred: (a) in the Republic of Vietnam between 2/28/1961 and 5/7/1975; or (b) between 8/5/1964 and 5/7/1975, in all other cases.
  2. Was discharged or released from active duty for a service connected disability in any part of such active duty was performed: (a) in the Republic of Vietnam between 2/28/1961 and 5/7/1975; or (b) between 8/5/1964 and 5/7/1975, in all other cases.
(3) Other Protected Veteran
  1. Other Protected Veteran is defined as a veteran who served in the military, ground, naval or air service of the U.S. on active duty during a war or in a campaign or expedition for which a campaign badge has been authorized.
III. Gender
 
Female
Male


If you prefer to not supply us with voluntary affirmative action information, please type in the word “decline” in the box below.


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