Application for Employment Exempt Non-incumbent
Please read carefully the following instructions, which have been provided to help you fill out your application correctly. These instructions and definitions refer to information requested in the form.
EMPLOYMENT RECORD.Space is provided for you to give information on your prior work experience. A resume containing ALL requested information may be attached, rather than completing this part of the application form. Resumes with incomplete or missing information may cause your application to be rejected.
You will be required to certify any and all information provided in support of your application is a true and correct statement of your employment history.
FALSIFICATION OR MISREPRESENTATION OF ANY INFORMATION REQUESTED MAY BE GROUNDS FOR REJECTION OF AN APPLICANT OR TERMINATION OF AN EMPLOYEE.
Start with present or most recent employment, list all previous employers within the last 10 years. Include self-employment, summer and part-time jobs. If more space is required, please continue on a separate sheet of paper. You may attach a resume, but complete this application as well.
If applying for a position, which requires a Security Clearance, and you, have served in the military; please list all positions, their corresponding dates and duties, and note if retired. Use additional page if necessary.
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.
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:
The Equal Employment Opportunity Commission (EEOC) requires all private employers with 100 or more employees as well as federal contractors and first-tier subcontractors with 50 or more employees AND contracts of at least $50,000 complete an EEO-1 report each year. Covered employers must invite employees to self-identify gender and race for this report.
Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for EEO-1 reporting purposes only and will be kept separate from all other personnel records only accessed by the Human Resources department.
If you choose not to self-identify your race/ethnicity at this time, the federal government requires Diverse Technology Korps, Inc. to determine this information by visual survey and/or other available information.
Under the regulations implementing the affirmative action provisions of the Vietnam Era Veterans' Readjustment Assistance Act (VEVRAA) of 1972 issued by the Office of Federal Contract Compliance Programs (OFCCP), a federal contractor is required to invite applicants and current employees to inform the contractor whether they are veterans belonging to one or more of the categories of veterans covered under VEVRAA who wish to benefit under the contractor's affirmative action program (AAP) for covered veterans.
In extending this invitation, we advise you that: (a) workers and 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 plan.
Refusal to provide this information will have no bearing on your application and will not subject you to any adverse treatment.
Please complete the information requested below. Thank you for your cooperation.
In exchange for the consideration of my job application by Diverse Technology Korps, Inc (hereinafter called DTK), I agree that:
Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of DTK, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President /General Manager of the Company. Both the undersigned and DTK may end the employment relationship at any time, without specified notice or reason. If employed, I understand that DTK may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.
I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give DTK permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release DTK from any liability as a result of such contract.
I also understand that (1) DTK has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations.
I understand that, in connection with the routine processing of your employment application, DTK may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, DTK, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.
I further understand that my employment with DTK shall be probationary for a period of sixty (60) days, and further that at any time during the probationary period or thereafter, my employment relation with DTK is terminable at will for any reason by either party.
I certify that I have read, understand and will adhere to the aforementioned statements.
May 4, 2022
June 2, 2021
May 22, 2020
