Career Application [2484]
CAREER APPLICATION
  • Contact Information
  • Veteran
  • Self-Identify
  • Background
  • Education
  • Employment History
  • References
  • Add Resume
VOLUNTARY SELF-IDENTIFICATION

The Knapheide Company annually completes an Affirmative Action Plan. As part of the plan we are required identify qualified candidates who apply for openings in our company. This form is provided for you to voluntarily complete and return. Participation will not affect or guarantee your opportunity for employment; however, we appreciate your cooperation. Information from this survey will be kept confidential.

General Instructions: The information from this survey is used to help ensure that our practices meet the requirement of Federal Law. Your responses are voluntary however, your cooperation in providing accurate information is critical. Please answer each of the questions to the best of your ability. Please print clearly. Thank you.

SEX:
RACE (CHECK ALL THAT APPLY):
MILITARY/VETERAN STATUS:
DISABLED VETERAN
RECENTLY SEPERATED VETERAN (SEPERATED WITHIN THE LAST 3 YEARS)
DATE OF SEPERATION:
ARMED FORCES SERVICE MEDAL VETERAN
ACTIVE WARTIME OR CAMPAIGN BADGE VETERAN

Voluntary Self-Identification of Disability
Form CC-305
OMB Control Number 1250-0005
Expires 05/31/2023

Why are you being asked to complete this form?

We are a federal contractor or subcontractor required by law to provide equal employment opportunity to qualified people with disabilities. We are also required to measure our progress toward having at least 7% of our workforce be individuals with disabilities. To do this, we must ask applicants and employees if they have a disability or have ever had a disability. Because a person may become disabled at any time, we ask all of our employees to update their information at least every five years.

Identifying yourself as an individual with a disability is voluntary, and we hope that you will choose to do so. Your answer will be maintained confidentially and not be seen by selecting officials or anyone else involved in making personnel decisions. Completing the form will not negatively impact you in any way, regardless of whether you have self-identified in the past. For more information about this form or the equal employment obligations of federal contractors under Section 503 of the Rehabilitation Act, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. Disabilities include, but are not limited to:

  • Autism
  • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, or HIV/AIDS
  • Blind or low vision
  • Cancer
  • Cardiovascular or heart disease
  • Celiac disease
  • Cerebral palsy
  • Deaf or hard of hearing
  • Depression or anxiety
  • Diabetes
  • Epilepsy
  • Gastrointestinal disorders, for example, Crohn's Disease, or irritable bowel syndrome
  • Intellectual disability
  • Missing limbs or partially missing limbs
  • Nervous system condition for example, migraine headaches, Parkinson’s disease, or Multiple sclerosis (MS)
  • Psychiatric condition, for example, bipolar disorder, schizophrenia, PTSD, or major depression
Please check one of the boxes below:

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 control number. This survey should take about 5 minutes to complete.
- ”By clicking “submit” at the end of this application, I hereby authorize The Knapheide Manufacturing Company and its designated agents and representatives to conduct a comprehensive review of my background causing a consumer report and/or an investigative consumer report to be generated for employment and/or volunteer purposes. I understand that the scope of the consumer report/ investigative consumer report may include, but is not limited to the following areas: verification of social security number; current and previous residences; employment history, education background, character references; drug testing, civil and criminal history records from any criminal justice agency in any or all federal, state, county jurisdictions; driving records, birth records, and any other public records. I further authorize any individual, company, firm, corporation, or public agency (including the Social Security Administration and law enforcement agencies) to divulge any and all information, verbal or written, pertaining to me, to The Knapheide Manufacturing Company or its agents. I further authorize the complete release of any records or data pertaining to me which the individual, company, firm, corporation, or public agency may have, to include information or data received from other sources. I hereby release The Knapheide Manufacturing Company, the Social Security Administration, and its agents, officials, representative, or assigned agencies, including officers, employees, or related personnel both individually and collectively, from any and all liability for damages of whatever kind, which may, at any time, result to me, my heirs, family, or associates because of compliance with this authorization and request to release.”
The Knapheide Manufacturing Company is fully committed to its Affirmative Action Plan and to the Equal Employment Opportunity Commission by attracting, retaining, developing and promoting the most qualified employees without regard to their race, color, religion, sex (including gender identity, change of sex and/or transgender status), national origin, disability, age, genetic information, citizenship status, veteran status, or any other characteristic prohibited by federal, state or local law. We are dedicated to providing a work environment free from discrimination and harassment, where employees are treated with respect and dignity.

EOE of Minorities/Females/Vets/Disability

THANK YOU FOR YOUR INTEREST IN A CAREER AT THE KNAPHEIDE MANUFACTURING COMPANY! WE WILL REVIEW YOUR CREDENTIALS AND, IF INTERESTED, WILL CONTACT YOU REGARDING THE INTERVIEW AND APPLICATION PROCESS.