Why are you being asked to complete this form?
This form is maintained separate from personnel files. CareFix Staffing is commited to being an equal opportunities employer and wishes to monitor the effectiveness of our recruitment practices. This information is gathered for statistical purposes only. The submission of this race/ethnic and gender information is voluntary and refusal to provide it will not subject you to any adverse employment action. It would assist us if you would provide the following information:
The law require 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.
Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete this form and your answer will not harm you in any way. If you want to learn more about the law of this form, please 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?
A disability is a condition that substantially limits one or more of your "major life activities." If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but not limited to:
The law requires us to take affirmative action to employ and advance in employment protected veterans. To help us measure the effectiveness of our outreach and recruitment efforts of veterans, we are asking you to tell us if you are a veteran covered by VEVRAA (Vietnam Era Veterans' Readjustment Assistance Act of 1974), as amended by the Jobs for Veterans Act of 2002, 38 U.S.C 4212. Completing this form is completely voluntary, but we hope you fill it out. Any answer you give will be kept private and will not be used against you in any way.
How do you know if you are a Veteran Protected by VEVRAA?
Contrary to the name, VEVRAA does not just cover Vietnam Era veterans. It covers several categories of veterans from World War II, the Korean conflict, the Vietnam Era, and the Persian Gulf War which is defined as occurring from August 2, 1990 to the present. If you believe you belong to any of the categories of protected veterans, please indicate by checking the appropriate box below. The categories are defined as follows:
