Assembler - Tester B

Voluntary Self Disclosure

The information in questions 4 through 8 pertain to Voluntary Self Disclosure and will only be used in accordance with the provisions of applicable laws, executive order, and regulations. Providing the information to those questions is voluntary and refusal will not impact your application.

RACE

• White
• Black/African American
• Native Hawaiian or Other Pacific Islander
• Asian/Indian Subcontinent

Protected Veterans

• Disabled veterans
• Recently separated veterans
• Active duty wartime or campaign badge veterans
• Armed forces service medal veterans

Disability

• Yes, I Have A Disability, Or Have A History/Record Of Having A Disability
• No, I Don’t Have A Disability, Or A History/Record Of Having A Disability
• I Don’t Wish To Answer

This company is an Equal Opportunity Employer/Disabled/VETS/Affirmative Action Employer. This survey is meant to help the company fulfill objectives in its affirmative action plans.

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.