Information about your educational history
Port City Concrete is subject to Executive Order 11246, as amended, which requires Federal contractors to ensure that applicants are employed and that employees are treated without regard to their race, color, religion, natural origin, sex, sexual orientation, or gender identity while employed.
We are, therefore, requesting information pertaining to race and gender in order to comply with government reporting requirements and in order to ensure Equal Employment Opportunity.
Submission of this information is completely voluntary and will be kept confidential. Refusal to provide this information will not subject you to any adverse treatment. The information provided will be used only in ways that are consistent with Federal affirmative action regulations.
This company is also subject to the Vietnam Era Veterans' Readjustment Assistance Act of 1974, as amended by
the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA), which requires Government contractors to take
affirmative action to employ and advance in employment veterans in the following classifications:
If you believe you belong to any of the categories of protected veterans listed above, please indicate by checking
the appropriate box below. As a Government contractor subject to VEVRAA, we request this information in order
to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA.
Because we do business with the government; we must reach out to, interview, hire, and provide equal opportunity to qualified people with disabilities. To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.
If you already work for us, your answer will not be used against you in any way. Because a person may
become disabled at any time, we are required to ask all of our employees to update their information every five
years. You may voluntarily self-identify as having a disability on this form without fear of any punishment
because you did not identify as having a disability earlier.
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:
I certify that the answers given here are true and complete.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
This application will be considered active for a period of time not to exceed forty-five (45) days. Any applicant wishing to be considered for employment beyond the 45-day time period should inquire as to whether or not applications are being accepted at that time.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with Port City Concrete is of an “at-will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that during the course of my employment I am required to abide by all rules and regulations of Port City Concrete.