U.S. Equal Employment Opportunity Information (Completion is voluntary)

Individuals seeking employment at Division 5, LLC are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, or sexual orientation. You are being given the opportunity to provide the following information in order to help us comply with federal and state Equal Employment Opportunity/Affirmative Action record keeping, reporting, and other legal requirements.

​Completion of the form is voluntary. Refusal to provide the requested information will not subject you to any adverse treatment. Any information that you do provide will be kept confidential as required.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who 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.

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 "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.

Armed Forces Service Medal VeteranDisabled VeteranNon VeteranOther Protected VeteranRecently Separated VeteranSpecial Disabled VeteranVeteranVietnam Era VeteranI do not wish to answer

We endeavor to 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.

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:

• Blindness

• Autism

• Bipolar disorder

• Post-traumatic stress disorder (PTSD)

• Deafness

• Cerebral palsy

• Major depression

• Obsessive compulsive disorder

• Cancer

• HIV/AIDS

• Multiple sclerosis (MS)

• Impairments requiring the use of a wheelchair

• Diabetes

• Schizophrenia

• Missing limbs or partially missing limbs

• Intellectual disability (previously called mental retardation)

• Epilepsy

• Muscular dystrophy