Application For Employment And Invitation To Self-Identify

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STATUS APPLYING FOR:
Please fill in the position you are applying for
Please fill in your salary expectation for the position you are applying for
DEGREE INFORMATION:
Type in Degree here if not on above list
LOCATION SELECTION

Select the M/E Office Locations you are applying for employment:

RACE/ETHNIC GROUPS:
If you answered “No” to the question above please check the applicable choice below:
SEX:
VETERAN STATUS:

Classifications of protected veteran are defined as follows:

  • A “disabled veteran” is either a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.
  • A “recently separated veteran” means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.
  • An “active duty wartime or campaign badge veteran” means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
  • An “armed forces service medal veteran” means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.
VOLUNTARY SELF IDENTIFICATION OF DISABILITY:

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:

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.

PERSONAL INFORMATION:
Please provide the name of the M/E employee who referred you for this position.

Thank you for completing this form. 

Applicant's Statement:

I  understand   and  agree  that  nothing  in  this  application   shall  constitute   an  offer,  a  contract  or  a  guarantee   of employment for a specific period of time. If hired, I understand  that my employment  with the M/E Engineering, P.C. is on an at-will basis,  which means  that my employment  may be terminated  with or without cause  and with or without  notice at any time, at the will of M/E Engineering, P.C. or me. I further understand that no representative or agent of M/E Engineering, P.C., other than the President, has the authority to enter into any agreement, for employment, for any specific period of time or to make an agreement contrary  to the foregoing.  I also understand  that any agreement  modifying  my at-will employment status must  be  in writing  and  signed  by the Manager.  I give M/E Engineering, P.C.  permission  to contact  all  or any  of my  previous employers  and references  and authorize them to disclose any information  M/E Engineering, P.C. may request  in the course  of its investigation of this application  for employment  and I hereby release  M/E Engineering, P.C. and such references  and prior employers  from any and all liability with respect to such disclosures.

After a tentative  offer  of employment  has  been  made,  if requested  by the M/E Engineering, P.C.,  I agree  to take  a job-related medical  examination  at no personal  expense  and authorize  the examining  physician  to disclose  the findings  to the M/E Engineering, P.C.  I understand  that  any  offer  of  employment   is conditioned  upon  receipt  of  satisfactory   references  and satisfactory  completion  of any such job-related  medical  examination.  I also understand that I may be requested now or at any subsequent time during my employment with the M/E Engineering, P.C. to submit  to drug  and/or  alcohol  tests,  at the M/E Engineering, P.C.' s expense.  I understand that if I refuse to take the test, my employment may be terminated immediately. I also  understand   that  if  a  conditional  offer  of  employment  is  made,  the  M/E Engineering, P.C.  performs   criminal  background checks.  A criminal conviction will not necessarily exclude me from consideration.   Rather, each situation will be addressed on an individual basis, consistent with applicable law.

I have  provided  truthful  and  complete  responses  to all inquiries  in the application  and  authorize  the  M/E Engineering, P.C.  to investigate  all statements  contained  in the application.  I understand that the discovery of any falsification or omission constitutes a ground for immediate dismissal or refusal to hire. If employed, I will abide by the M/E Engineering, P.C.'s rules and regulations, which I understand are subject to change by the M/E Engineering, P.C.

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