Laurel Technology Center
14900 Sweitzer Lane, Suite 204
Laurel, Maryland 20707
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Please complete or decline our short "Invitation to Self Identify" survey. Thank you!
*** Applicants Invitation To Self Identify ***
EVERGREEN INFORMATION TECHNOLOGY SERVICES, INC. is an entity subject to Executive Order 11246; section 503 of the Rehabilitation Act of 1973, as amended; the Vietnam Era Veterans Readjustment Assistance Act (VEVRA) of 1974, as amended; the Jobs for Veterans Act (JFVA) of 2003, and/or Title VII of the Civil Rights Act of 1964 and is required to comply with certain government record-keeping requirements.
Government agencies require periodic reports on the sex, race/ethnicity, disability and veteran status of applicants and employees. This data is for analysis and affirmative action only. Submission of any of the requested information is voluntary.
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Position Currently Applying for:
1. Please check which of the following applies to you:
2. Please check which of the following categories below applies to you. Please check only one category below:
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.
Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) – A person having origins in any of the people 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 Americas), and who maintain tribal affiliation or community attachment.
Two or More Races (Not Hispanic or Latino) – All person who identify with more than one of the above races.
I decline the invitation to self-identify.
For VETS-100A reporting purposes, please also check which of the following categories below applies to you. Please check all that apply:
Disabled veteran means: (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 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: 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 FR 1209, 3 CFR, 1996 Comp., p. 159).
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.
Qualified Individual with a Disability
None of the Above
I decline the invitation to self identify.
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