(PLEASE PRINT AND COMPLETELY ANSWER ALL QUESTIONS)
Our company (“Company”) fully subscribes to the principles of Equal Employment Opportunity. It is our policy to provide employment, compensation, and other benefits related to employment based on qualifications, without regard to race, color, religion, national origin, age, sex, veteran status, genetic information, disability, or any other basis prohibited by federal, state or local law. In accordance with requirements of the Americans with Disabilities Act and applicable federal, state and/or local laws, it is our policy to provide reasonable accommodation upon request during the application process to applicants in order that they may be given a full and fair opportunity to be considered for employment. As an Equal Opportunity Employer, we intend to comply fully with applicable federal, state and/or local employment laws and the information requested on this application will only be used for purposes consistent with those laws. To the extent required by applicable law, The Company maintains a smoke- free workplace.
Applicants for positions in Rhode Island please note that the company is subject to Chapters 29-38 of Title 28 of the General Laws of Rhode Island and is therefore covered by the state's workers compensation law
If the box is checked the following exemption applies:
*Note: It is not necessary for you to identify unavailability for work because of religious observance or
practice or any other protected classification. Subsequent to any job offer, we will consider whether a
reasonable accommodation can be made.
Note: The Federal Immigration and Reform and Control Act of 1986 requires that a DHS
Employment Eligibility Verification “Form I-9” be completed for every new hire and that within 3
business days of beginning work every new hire must present to the employer documentation
establishing his/her identity and authorization to work. This federal requirement must be satisfied as
a condition of employment.