Production Supervisor

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 (A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.)

• Black/African American (A person having origins in any of the Black racial groups of Africa.)

• Native Hawaiian or Other Pacific Islander (A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.)

• Asian/Indian Subcontinent (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.)

Protected Veterans

• Disabled veterans;

• Recently separated veterans;

• Active duty wartime or campaign badge veterans;

• Armed forces service medal veterans

Why Are You Being Asked to Complete This Form?

We do work with the government, we must reach out to hire, and provide equal opportunity to qualified people with disabilities. 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.

Disability Identification

• 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

PUBLIC BURDEN STATEMENT

This survey should take about 5 minutes to complete.