As a federal contractor, IMS is subject to certain governmental recordkeeping and reporting requirements. The purpose of this form is to obtain accurate information about applicants and employees in order to meet the company’s obligations as a federal contractor, and the information will not be used in any manner that is inconsistent with applicable law.
Please assist us by completing this form. You are not required to provide this information. Refusal to provide this information will not subject you to any adverse treatment. The data provided on this form will be kept confidential except in situations allowed by law and will be maintained separately from your application/personnel file.
It is the policy of Information Management Services, Inc. (IMS) to provide equal employment opportunity to all employees and applicants for employment without regard for race, color, national origin, religion, sex, age, disability, veteran status, or any other legally protected status.
As a federal contractor, IMS is subject to certain governmental recordkeeping and reporting requirements for the administration of equal employment opportunity and affirmative action laws and regulations. The purpose of this form is to meet the company's legal obligations as a federal contractor, and the information will only be used for the purposes of compliance with these obligations.
Completion of this form is voluntary and is not a requirement for employment. Refusal to provide this information will not subject you to any adverse treatment. The information provided on this form will be kept confidential and maintained separately from your application. When the information is reported, the data will be provided in aggregate and will not be personally identifiable.
We appreciate your assistance, and please let us know if you have any questions or concerns about this form.
(If you are a recently separated veteran, please provide your discharge date.)
A "protected veteran" is a person who served on active duty in the U.S. military, ground, naval, or air service, was discharged or released there from under conditions other than dishonorable and meets at least one of the definitions below:
OMB Control Number 1250-0005
Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities.i 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 form 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.
You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a 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:
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.
^ i 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) website at www.dol.gov/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. This survey should take about 5 minutes to complete.
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