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Voluntary Self-Identification
For government reporting purposes, we ask candidates to respond to the below
self-identification survey. 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.
As set forth in EBANXs Equal Employment Opportunity policy, we do not
discriminate on the basis of any protected group status under any applicable law.
Race & Ethnicity Definitions
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 the 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 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
Form CC-305
Page 1 of 1
OMB Control Number 1250-0005
Expires 04/30/2026
Why are you being asked to complete this form?
We are a federal contractor or subcontractor. The law requires 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 the form and your answer will not harm you in any way. If you
want to learn more about the law or this form, visit the U.S. Department of
Labors 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 are not limited to:
Alcohol or other substance use disorder (not currently using drugs illegally)
Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis,
HIV/AIDS
Blind or low vision
Cancer (past or present)
Cardiovascular or heart disease
Celiac disease
Cerebral palsy
Deaf or serious difficulty hearing
Diabetes
Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or
congenital disorders
Epilepsy or other seizure disorder
Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome
Intellectual or developmental disability
Mental health conditions, for example, depression, bipolar disorder, anxiety
disorder, schizophrenia, PTSD
Missing limbs or partially missing limbs
Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg
brace(s) and/or other supports
Nervous system condition, for example, migraine headaches, Parkinsons disease,
multiple sclerosis (MS)
Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD),
autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
Partial or complete paralysis (any cause)
Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
Short stature (dwarfism)
Traumatic brain injury
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respond to a collection of information unless such collection displays a valid OMB
control number. This survey should take about 5 minutes to complete.