To be completed by applicant. Not for interview purposes. To be filed seperately from application. This information is used to satisfy the Affirmative Action requirements of Section 503 of the Rehabilitation Act or is necessitated by another Federal Law or regulation.
As required, we comply with government regulations including Affirmative Action obligations where they apply.
In an effort to comply with requirements regarding government record keeping, reporting and other legal obligations, we ask that you complete this applicant data survey. Your cooperation is appreciated.
Please be advised that this survey is not a part of your official application for employment. It is considered confidential information that will not be used in any hiring decision.
We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, veteran status or any other legally protected status.
To Vietnam Era Veterans, Disabled Veteran, and individuals with physical and mental disabilities:
Government contractors subject to the Vietnam Era Veterans Readjustment Act of 1974 and the Rehabilitation Act of 1973 are required to take affirmative action to employ and advance in employment qualified disabled veterans, veterans of the Vietnam era and qualified handicapped individuals. You are invited to volunteer this information, if you qualify, to assist in proper placement and determining reasonable accommodation. This information will be considered confidential. Refusal to provide this information will not adversely affect your consideration for employment.
I agree to work the hours and shifts deemed necessary by Litehouse, Inc.
Litehouse may require you to work for one year before being eligible to transfer between departments.
Note: Our building is a non-smoking, non-tobacco environment. We also require drug/alcohol testing.
Any falsification, misrepresentation or omission of requested information may result in immediate dismissal or refusal of employment.
Important: Make sure you have acknowledged the above statements as it represents your electronic signature of agreement.