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Gustavus Adolphus College is subject to Executive Order 11246, as amended, which requires federal employers to take affirmative action and provide equal employment opportunity to employees, without regard to their race, color, religion, sex, sexual orientation, gender identity or natural origin. We are requesting self-identification information, as information gathered through this voluntary self-identification form is used periodically with various government agencies for statistical reporting and to measure the effectiveness of our affirmative action and equal employment opportunity outreach efforts.

Submission of this information is voluntary and will be kept confidential. 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 federal affirmative action regulations. Human Resources is the only office that will view this information.

Because we do business 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. Completing this 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 if 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 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
Deafness
Cancer
Diabetes
Epilepsy
Autism
Cerebral palsy
HIV/AIDS
Schizophrenia
Muscular dystrophy
Bipolar disorder
Major depression
Multiple sclerosis (MS)
Missing limbs or partially missing limbs
Post-traumatic stress disorder (PTSD)
Obsessive compulsive disorder
Impairments requiring the use of a wheelchair
Intellectual disability (previously called mental retardation).

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.

Section 503 of the Rehabilitation Act of 1973, as amended. 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).

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.

Gustavus Adolphus College 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 advance in employment:

• Disabled Veterans - A veteran of the U.S. military, ground, naval, or air service who is entitled to compensations (or who but for the receipt of military pay would be entitled to compensation) under laws administered by the Secretary of Veteran Affairs; or A person who was discharged or released from active duty because of a service-connected disability.
• Recently Separated Veterans - 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.
• Active Duty Wartime or Campaign Badge Veterans - A veteran who served on active duty in the U.S. military, ground, naval or air service during a war, on in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
• Armed Forces Service Medal Veterans - 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.

These classifications are defined below. We are requesting that you voluntarily self-identify your veteran status using this form, as information gathered through this voluntary self-identification form is used periodically with various government agencies for statistical reporting and to measure the effectiveness of our affirmative action and equal employment opportunity outreach efforts.

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.

By clicking “submit” below, I certify that the facts set forth in this online application and any attachments I have uploaded are true and complete to the best of my knowledge. I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered grounds for immediate termination. I authorize Gustavus Adolphus College to verify the accuracy of this information and obtain reference information from my previous employers, unless specified previously in this application, with regard to my work performance. I equally authorize the individuals referred to in this application to provide the information to Gustavus Adolphus College for the purposes of evaluating my candidacy.

I understand that an offer of employment received may be contingent on pre-employment screening, including a background check. Applicants for positions that are subject to these procedures will be notified and provided with separate authorization and disclosure forms.

I understand that any employment offered is at will and that either I or Gustavus Adolphus College may terminate my employment at any time with or without notice or cause. I further understand that no representative or agent of Gustavus Adolphus College has the authority to enter into an agreement for employment for any specified period of time unless such change is specifically agreed to in writing by the President of the College.