Invitation to Self-Identify
Advantage Resourcing is committed to equality of opportunity for all staff and job applicants. We acknowledge the unique contribution that all individuals can make and we aim to create a working environment in which all individuals are able to make use of their skills, free from discrimination or harassment, and in which all decisions are based on merit. This form is intended to help us maintain equal opportunities best practice and identify barriers to workforce equality and diversity.
The information on this form will be used for monitoring purposes only and will not be used in any decision affecting you. The information you provide will remain anonymous and will be stored separate to any job application. You are not obliged to answer any of these questions but the more information you supply, the more effective our monitoring will be. All information supplied will be treated anonymously.
Voluntary Self-Identification of Disability
Form CC-305 - OMB Control Number 1250-0005
Why are you being asked to complete this form?
Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities.i To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way
If you already work for us, your answer will not be used against you in any way. Because a person maybecome disabled at any time, we are required to ask all of our employees to update their information every fiveyears. You may voluntarily self-identify as having a disability on this form without fear of any punishmentbecause you did not identify as having a disability earlier.
How do I know if I 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:
Blindness , Autism , Bipolar disorder , Post-traumatic stress disorder (PTSD) , Deafness , Cerebral palsy, Major depression , Obsessive compulsive disorder , Cancer , HIV/AIDS , Multiple sclerosis (MS) , Impairments requiring the use of a wheelchair , Diabetes , Schizophrenia , Muscular dystrophy , Epilepsy , Missing limbs or partially missing limbs , Intellectual disability (previously called mental retardation)
Reasonable Accommodation Notice
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.
Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Laborâs Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp
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. Thissurvey should take about 5 minutes to complete.