POST-OFFER VOLUNTARY SELF-IDENTIFICATION
Our organization is committed to the employment and advancement of qualified minorities,
females, individuals with disabilities and veterans. If you fall into one of these protected
classifications, we invite you to identify yourself. You may inform us of your desire to benefit
under the program at this time and/or any time in the future. This information will assist us in
placing you in an appropriate position and in making accommodations for your disability.
Instrument & Valve Services supports EEO/AA in all aspects of employment including, but
not limited to, applicants, promotions, training, transfers, retention and termination.
Instrument & Valve Services establishes and monitors AA goals and takes proactive measures
throughout the year to advance these goals and to ensure equal employment opportunity (EEO)
The information provided will be kept confidential except that: (1) supervisors and managers
may be informed regarding work restrictions and regarding necessary accommodations; (2) first-
aid safety personnel may be informed, when and to the extent appropriate, if the condition might
require emergency treatment; and (3) government officials investigating compliance may be
We would like to include you under Instrument & Valve Services AA Program. If you are a
protected veteran or a disabled individual, it would assist us if you tell us about: (i) any special
methods, skills, and procedures that would qualify you for a position you might not otherwise be
able to do because of your disability so that you will be considered for any positions of that kind,
and (ii) accommodations we could make to enable you to perform the job properly and safely,
including special equipment, changes in the physical layout of the job, elimination of certain
duties relating to the job, provision of personal assistance services, or other accommodations.
Submission of the above information or if you choose not to answer any questions will not
subject you to adverse treatment.
Our affirmative action plan for disabled individuals, special disabled veterans and other covered
veterans is available for inspection to any employee or applicant for employment upon request.
A copy of the plan may be inspected during normal business hours.
SIGNATURE OF APPLICANT: