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Application For Employment

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Position applying for
General
Education
High School Diploma
GED
Some college experience
Associate's degree
Bachelors
Masters
PH. D. / Doctor
Professional
Other
Employment Type
Full Time
Part Time
Shift
Day Shift
Night Shift
Are you legally authorized to work in the United States?
Yes
No
Are you Hispanic or Latino?
Yes
No
If you selected No to the previous question - Please select the racial category with you most closely identify.
American Indian or Alaska Native
Black or African American
Asian
White
Native Hawaiian or Other Pacific Islander
Two or more race
Other
Gender
Female
Male
Prefer not to say
Language
English
Spanish
Bilingual
Other

Personal Information - FirstChoice Talent Group is an Equal Opportunity Employer.  Individuals seeking employment are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, or sexual orientation. 


FirstChoice Talent Group invites applicants and employees to voluntarily self-identify their race/ethnicity and gender 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 entirely voluntary. 


Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.  If reported, data will not identify any specific individual. For reference please see the veteran classifications below:

  • Disabled Veteran: (i) 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 (ii) a person who was discharged or released from active duty because of a service-connected disability.

  • Other Protected Veteran: 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.

  • Three-Year Recently Separated Veteran: 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.  NOTE:  the hard copy form asks for a date.  Can we ask for a date to be entered?

  • Armed Forces Service Medal Veteran: 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 (61 Fed. Reg. 1209).

Select Veteran Status
I IDENTIFY AS ONE OR MORE OF THE CLASSIFICATIONS OF PROTECTED VETERAN LISTED BELOW
I AM NOT A PROTECTED VETERAN
I DO NOT WISH TO ANSWER

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, 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, benefiting 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, dyspraxia, other learning disabilities

  • Partial or complete paralysis (any cause)

  • Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema

  • Short stature (dwarfism)

  • Traumatic brain injury

Select Disability Status
Yes, I have a disability, or have had one in the past
No, I do not have a disability and have not had one in the past
I do not want to answer

Equal Employment Opportunity - FirstChoice Talent Group is an equal opportunity employer and prohibits discrimination and harassment of any type. It is the policy of the Company to prohibit unlawful discrimination against employees or applicants based on sex (including pregnancy, perceived pregnancy, childbirth, breastfeeding, or related medical conditions), sexual orientation, race, gender, gender identity (including transgender identity and transitioning), gender expression and sex stereotyping, religion (including religious dress and grooming practices), color, national origin or ancestry, genetic information, physical or mental disability, age, alien or citizenship status, military or veteran status, marital status, domestic partner status, legally protected medical condition or information, family care or medical leave status, status as a victim of domestic violence, sexual assault, or stalking, requesting a reasonable accommodation on the basis of disability or bona fide religious belief or practice, or any other classification with protected status under federal, state, or local law.

Agree
Disagree
Will you now or in the future require sponsorship for employment visa status (e.g., H-1B visa status)?"
Yes
No
How Did You Hear About Us?
Advertising
Recruiting Events
Social Media - LinkedIn, Facebook
Job Boards - Indeed, Glassdoor, CareerBuilder
Referral - Manager, Family Member, Friend
Other
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