Veterinary Technician Student Externship - Sandy, UT

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.

As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA)

• As a result of this survey, we request information to measure the effectiveness of our outreach and positive recruitment efforts.

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 Veterinary Emergency Group (VEG)'s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.

Protected Veterans

• To determine if you are a protected veteran, please select the appropriate category based on your military service.

Disability Status

Do you consider yourself to have a disability? If yes, please explain:

• If you have a disability, please describe it.
• If you have ever had a disability, please describe it.

OMB Control Number 1250-0005

Expires 04/30/2026

Public Burden Statement

This survey should take about 5 minutes to complete.