Equal Employment Information Name * First Name Last Name Please identify your gender Male Female Please identify your ethnicity WHITE - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa BLACK OR AFRICAN AMERICAN - A person having origins in any of the black racial groups of Africa. ASIAN - 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 ALASKAN NATIVE - 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. NATIVE HAWAIIAN OR PACIFIC ISLANDER - A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other rPacific Islands. Two or more races - which DO NOT include Hispanic or Latino This company is an Equal Opportunity/Affirmative Action employer and subject to certain reporting and affirmative action requirements. The information required on this page is requested only so that we may meet our Equal Opportunity/Affirmative Action obligations. your completion of this form is purely voluntary and will not, in any way, affect your consideration for employment. Any information you provide on this page will bee stored separately from your job application. Check here, if you do not wish to provide the information requested. Voluntary Invitation to Self-Identify - Protected Veterans As a government contractor, Entrusted Transport, LLC is 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 advanced in employment: (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans. If you believe you belong to any of the categories of protected veterans listed in the document above, please indicate by checking the appropriate answer 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. Please identify your VETERAN STATUS below: Yes, I identify as one or more of the classifications of protected veteran listed above. No, I am not a protected Veteran. Check here if you do not wish to provide the information requested. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information provided will be used only in ways that are not inconsistent with the Vietnam Era Veterans' Readjustment Assistance Act of 1974, as amended. The information you submit will be kept confidential, except that (i) supervisors and managers may be informed regarding restrictions on the work or duties of disabled veterans, and regarding necessary accommodations; (ii) first aid and safety personnel may be informed, when and to the extent appropriate if you have a condition that might require emergency treatment; and (iii) Government officials engaged in enforcing laws administered by the Office of Federal Contract Compliance Programs, or enforcing the Americans with Disabilities Act, may be informed. This employer as adopted an affirmative action program to comply with its obligations under VEVRAA. The company is committed to a policy of equal employment opportunity for all protected veterans and to employing and advancing protected veterans in employment. This policy applies to all personnel actions, including selection and hiring, transfers, training, promotions, compensation, employee benefits, and terminations. Thank you! Click here to view Definitions of Veteran Classifications