Invitation to Self-Identify-EEO/VEVRAA Invitation to Self IdentifyVelocity Machine Inc. is an equal opportunity employer. As required by law, we must record certain information to be made a part of our affirmative action program. Applicants for employment are invited to participate in the affirmative action program by reporting their status as a protected veteran or other minority. In extending this invitation, we advise you that: (a) workers (applicants) are under no obligation to respond but may do so in the future if they choose; (b) responses will remain confidential within the human resource department; and (c) responses will be used only for the necessary information to include in our affirmative action program. We are a company that values diversity. We actively encourage women, minorities, veterans and disabled employees to apply. This form requires completion, however selecting 'I do not wish to self-identify' is acceptable and will have no bearing on your application and will not subject you to any adverse treatment. Applicant's Name:*Type your name in this field.Position Applied For:*Please type in the name of the open position or positions you are applying for or type 'Any' if you are applying to any position that is open.Today's date:*Gender*MaleFemaleI do not wish to self-identifyPlease select your gender.Race or Ethnicity Identity:*Hispanic or Latino-A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.White (not Hispanic or Latino)-A person having origins in any of the original peoples of Europe, the Middle East or North Africa.Black or African American (not Hispanic or Latino)-A person having origins in any of the black racial groups of Africa.Native Hawaiian or Pacific Islander (not Hispanic or Latino)-A person having origins in any of the peoples of Hawaii, Guam, Samoa or other Pacific Islands.Asian (Not Hispanic or Latino)-A person 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.American Indian or Alaskan Native (not Hispanic or Latino)-A person having origins in any of the original peoples of North and South America (including Central America) and who maintain tribal affiliation or community attachment.Two or more races (not Hispanic or Latino)-All persons who identify with more than one of the above races.I do not wish to self-identifySelect only one Veteran Status*I am a protected veteran-Protected veteran means a veteran who may be classified as an active duty wartime or campaign badge veteran, disabled veteran, Armed Forces service medal veteran or recently separated veteran. 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. Armed Forces service medal veteran means any 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 (61 FR 1209, 3 CFR, 1996 Comp., p. 159). Disabled veteran means (1) 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 (2) a person who was discharged or released from active duty because of a service-connected disability. Recently separated veteran means a 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.I am NOT a protected veteranI do not wish to self-identifySelect only oneHow did you hear of our opening?*Employee ReferralCompany WebsiteJob Board (WI Job Center, Indeed, Monster, etc.)Social Media (Facebook, Linked In, etc.)Advertisement (printed ad, radio,tv)RecruiterOtherI do not wish to saySelect only oneWhat is 2 x 2= ?* this Spam Captcha is powered by Gravity Captcha. (Powered by Gravity Captcha) 37448