Maintenance Technician 25 Complete the form below to apply for the Maintenance Technician 25 position: First Name*Middle InitialLast Name*Email* Best Contact Phone Number*Address*City*State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip Code*Cover Letter File Upload (optional)Accepted file types: doc, pdf, docx, Max. file size: 256 MB.Resume File Upload*Accepted file types: doc, pdf, docx, Max. file size: 256 MB.How did you hear about this position?* Newspaper Classified Ad Company Website Internet Job Board Posting State Employment Office Employee Referral WNYVHC College Career Center Which Newspaper Classified Ad?*Please specify in the box below which newspaper classified ad you found this position in.Which Internet Job Board Posting*Please specify in the box below which internet job board posting (Monster, Indeed, etc...) you found this position on.Invitation to Self IdentifyPLEASE READ ALL INSTRUCTIONS BEFORE COMPLETING THIS FORM Belmont Housing Resources for WNY is an Equal Opportunity Employer committed to the policies and principles of Non-Discrimination and Affirmative Action. To implement these policies and to respond to federal affirmative action recordkeeping and reporting requirements, it is important that the following information be gathered from all applicants and employees. Providing this information is optional. Failure to submit data will not in any way affect your present or future employment. The information provided will remain confidential and be used primarily for government reporting purposes.Your Sex Male Female Non-binary Agender My gender is not listed Prefer not to answer Your Race/Ethnic Group American Indian or Alaskan Native (Not Hispanic/Latino): Having Origins in any of the original peoples of North America and South America (including Central America) and maintaining tribal affiliation or community attachment. Asian (Not Hispanic/Latino): 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. Black or African American (Not Hispanic/Latino): Having origins in any of the Black racial groups of Africa. Native Hawaiian or other Pacific Islander (Not Hispanic/Latino): Having origins in any of the original peoples of Hawaii, Guam, Samoa or other Pacific Islands. White (Not Hispanic/Latino): Having origins in any of the original peoples of Europe, North Africa or the Middle East. Hispanic/Latino: Having origins in Cuban, Mexican, Puerto Rican, Central or South American or other Spanish culture regardless of race. Two or More Races (Not Hispanic/Latino): Identifies with more than one of the above groups. Veteran StatusClassifications of protected veteran are defined as follows: -A "disabled veteran" is either a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who would but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability. -A "recently separated veteran" means 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. -An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense. An "armed forces service medal veteran" means 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. I identify as one or more of the classifications of protected veteran listed above. I am not a protected veteran. Voluntary Self-Identification of DisabilityWhy 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. Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp. How do you know if you have a disability? A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to: -Alcohol or other substance use disorder (not currently using drugs illegally) -Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, or HIV/AIDS -Blind or low vision -Cancer (past or present) -Cardiovascular or heart disease -Celiac disease -Cerebral palsy -Deaf or serious difficulty hearing -Diabetes -Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders -Epilepsy or other seizure disorder -Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome -Intellectual or developmental disability -Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD -Missing limbs or partially missing limbs -Mobility impairment, benefitting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports -Nervous system condition, for example, migraine headaches, Parkinson's Disease, Multiple Sclerosis (MS) -Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, other learning disabilities -Partial or complete paralysis (any cause) -Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema -Short stature (dwarfism) -Traumatic brain injury 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 Reasonable Accommodation NoticeFederal 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.
