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U.S. Equal Opportunity Employment Information U.S. Equal Opportunity Employment Information (Completion is voluntary) Individuals seeking employment at Arctic Wolf Networks are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation. You are being given the opportunity to provide the following information in order to help us comply with federal and state Equal Employment Opportunity/Affirmative Action record keeping, reporting, and other legal requiremen Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file. Gender*GenderMaleFemaleDecline to self identifyAre you Hispanic/Latino?*Are you Hispanic/Latino?YesNoDecline to self identifyRace & Ethnicity Definitions* Hispanic or Latino – A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race. White (Not Hispanic or Latino) – A person having origins in any of the original peoples of Europe, the Middle East, or North Africa. Black or African American (Not Hispanic or Latino) – A person having origins in any of the black racial groups of Africa. Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) – A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands. Asian (Not Hispanic or Latino) – A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. American Indian or Alaska Native (Not Hispanic or Latino) – A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment. Two or More Races (Not Hispanic or Latino) – All persons who identify with more than one of the above five races. If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows: A “disabled veteran” is one of the following: 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 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.Veteran Status*Veteran StatusI am not a protected veteranI identify as one or more of the classifications of protected veteranI don't wish to answer Voluntary Self Identification of Disabilities 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 disabilities1. 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 may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because 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:*Disabilities include, but are not limited to:NoneBlindnessDeafnessCancerDiabetesEpilepsyAutismCerebral palsyHIV/AIDSSchizophreniaMuscular dystrophyBipolar disorderMajor depressionMultiple sclerosis (MS)Missing limbs or partially missing limbsPost-traumatic stress disorder (PTSD)Obsessive compulsive disorderImpairments requiring the use of a wheelchairIntellectual disability (previously called mental retardation)Disability Status*Disability StatusYes, I have a disability (or previously had a disability)No, I don't have a disabilityI don't wish to answerName*Date* MM slash DD slash YYYY 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. 1Section 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 Labor’s 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. 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I further understand that, except for the provisions of the Employment Arbitration Policy, no UEI Technology policies, procedures, correspondence, or handbooks establish a contract or promise of any specific term or condition of employment between myself and UEI Technology. I understand that the employment relationship is "at will", which means that if an employment relationship is established, UEI Technology or I may terminate the employment relationship at any time and for any reason, with or without notice or prior discipline unless of course specified in certain specific contracts. I understand that if I have misrepresented information in this application or in any accompanying document or resume which I may submit in support of this application, or if I have omitted any material facts, UEI Technology will not consider me for employment. If I become employed by UEI Technology, and any misrepresentation, falsification or omission is discovered after I have begun employment, I understand that my employment with UEI Technology is subject to immediate termination. The information that I have provided in this application (including all attachments) are true and correct. Pursuant to UEI Technology's policy on conflict of interest, I am required to tell my recruiter if I am related to any UEI Technology employee who works in the department or business to which I am applying. Do Not eSign Until You Have Read The Above Statement. By signing my eSignature below, I certify that I have read, fully understand and accept all terms of the foregoing statement. I do agree with the storage and handling of my data by this website and I also acknowledge that my eSignature is the electronic equivalent of a hand- written signature. Full Name*Date* MM slash DD slash YYYY Review and Submit Please review your application to ensure all information provided is accurate and up to date. When you are ready to complete the application process, click the “Submit” button so you can be considered for this position.{all_fields}Addtional comments (If any)
