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.
|RACE (CHECK ALL THAT APPLY):|
|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
OMB Control Number 1250-0005
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.
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:
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.