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Human Resources Director Application:

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Personal Information:

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Employment Desired:

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Education:

Employment History (List your last four employers, starting with the most recent)

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I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of date of payment of my wages and salary, be terminated at any time without any previous notice.

Voluntary Applicant Affirmative Action Information Sheet:

As an Equal Opportunity Employer, we do not discriminate on the basis of race, color, religion, sex, age, national origin, disability, genetic information, veteran status, or any other classification protected by federal, state, or local law. As a federal contractor, we comply with government regulations and affirmative action responsibilities where applicable.

 

Completion of this data is voluntary and will not affect your opportunity for employment. This information is solely to help us comply with government record keeping, reporting, and other legal requirements and will be kept in a confidential file separate from the Application for Employment. Thank you for your cooperation.

Referral Source:

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Race/Ethnicity:

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Voluntary Self-Identification of Disability

Form CC-305
OMB Control Number 1250-0005
Expires 5/31/2023

Why are you being asked to complete this form?

We are a federal contractor or subcontractor required by law to provide equal employment opportunity to qualified people with disabilities.  We are also required to measure our progress toward having at least 7% of our workforce be individuals with disabilities.  To do this, we must ask applicants and employees if they have a disability or have ever had a disability.  Because a person may become disabled at any time, we ask all of our employees to update their information at least every five years.

 

Identifying yourself as an individual with a disability is voluntary, and we hope that you will choose to do so.  Your answer will be maintained confidentially and not be seen by selecting officials or anyone else involved in making personnel decisions.  Completing the form will not negatively impact you in any way, regardless of whether you have self-identified in the past.  For more information about this form or the equal employment obligations of federal contractors under Section 503 of the Rehabilitation Act, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.   

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 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:

Disabilities include, but are not limited to:
  • Autism

  • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, or HIV/AIDS

  • Blind or low vision

  • Cancer

  • Cardiovascular or heart disease

  • Celiac disease

  • Cerebral palsy

  • Deaf or hard of hearing

  • Depression or anxiety

  • Diabetes

  • Epilepsy

  • Gastrointestinal disorders, for example, Crohn's Disease, or irritable bowel syndrome

  • Intellectual disability

  • Missing limbs or partially missing limbs

  • Nervous system condition for example, migraine headaches, Parkinson’s disease, or Multiple sclerosis (MS)

  • Psychiatric condition, for example, bipolar disorder, schizophrenia, PTSD, or major depression

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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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After clicking submit you will need to complete a Predictive Index Assessment. Finishing the survey will complete the application process.

Please upload any relevant documents  (resume, DMV records, etc.) prior to submitting your application:

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©2018 by Hoffman Beverage Co.

4105 S Military Hwy

Chesapeake, VA 23321

Created by: B&B Consulting

 

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