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VOLUNTARY INFORMATION
M Force is a government contractor and to comply with the regulations for equal employment opportunity and affirmative action, M Force must track our applicants by gender and race/ethnicity and the position for which they applied. Information provided will be kept confidential and separate from your employment application. Responses will be used only for M Force’s Affirmative Action Plan and applicable reporting requirements. When reported, data will not identify any specific individuals. M Force strongly values diversity and encourages women and minorities to apply. For this reason, we invite you to indicate your gender and race/ethnicity below.

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Please select a race from the options below

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American Indian or Other Pacific Islander (Not Hispanic or Latino)
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Asian (Not Hispanic or Latino)
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I Do Not Wish To Disclose

DEFINITIONS OF RACE/ETHNICITY CATEGORIES
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.
Pre-Employment/Post-Employment Voluntary Self-Identification of Disability

Why am I 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 under Section 503 of the Rehabilitation Act of 1973, as amended.
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 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, Bipolar disorder, Obsessive Compulsive Disorder,,Deafness, Cerebral palsy, Post-Traumatic Stress Disorder, Autism, Major Depression, Required Use of a Wheelchair,Cancer, Multiple Sclerosis, Intellectual Disability,HIV/AIDS, Schizophrenia, Missing or Partially Missing Limbs,Diabetes, Epilepsy, Muscular Dystrophy

Please Check One of the Boxes Below

Yes, I have a Disability (or previously had a disability)
No, I do not have a Disability
I do not wish to answer

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. 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. This survey should take about 5 minutes to complete. [Form CC-305; OMB Control # 1250-0005; Expires: 1/31/2020].

Pre-Employment Offer Invitation to Self-Identify as Protected Veteran

M Force, Staffing, Inc. is a Government contractor subject to the Vietnam Era Veterans' Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA), which requires Government contractors to take affirmative action to employ and advance in employment: (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans. These classifications are defined as follows:
I. A “disabled veteran” is one of the following:
(a) 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
(b) a person who was discharged or released from active duty because of a service-connected disability.
II. 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.
(a) 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.
(b) 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.
Protected veterans may have additional rights under USERRA—the Uniformed Services Employment and Reemployment Rights Act. In particular, if you were absent from employment in order to perform service in the uniformed service, you may be entitled to be reemployed by your employer in the position you would have obtained with reasonable certainty if not for the absence due to service. For more information, call the U.S. Department of Labor's Veterans Employment and Training Service (VETS), toll-free, at 1-866-4-USA-DOL.

If you believe you belong to any of the categories of protected veterans listed above, please indicate by checking the appropriate box below. As a Government contractor subject to VEVRAA, we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA.

If you believe you belong to any of the categories of protected veterans listed above, please indicate by checking the appropriate box below.

I Identify as one or more of the classifications of protected veteran listed above
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