Windy City Movers

Personal Information

By entering your information below, you are authorizing WINDY CITY MOVERS to contact you via email, phone or text message with the information you provide. You may ask us to not use any of these communication types at any time by replying 'stop' or 'unsubscribe.'

Please be advised that your continued employment may be subject to random drug testing because WINDY CITY MOVERS Inc is a drug-free working environment. This policy is being implemented to ensure a safe and productive workplace.

Important Note:

• Random Selection: Employees will be selected randomly for testing.

• Refusal of Testing: Refusal to submit to a drug test may result in disciplinary action, up to and including termination of employment.

• Confidentiality: All drug testing results will be kept strictly confidential.

I understand that as a condition of employment, I may be required to submit to a pre-employment drug test. I authorize WINDY CITY MOVERS Inc to conduct a drug test and release the results to the company.*

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Personal Information

First Name *

Last Name *

Email *

Phone Number *

Address *

City *

State *

Zip Code *

We hire and provide equal opportunity to qualified individuals. To help us measure how we are doing, in the following screens we are going to ask you to provide us with information about your race, gender, veteran status and if you have, or have had, a disability.

As part of this procedure we are going to invite you to complete the following:

• Voluntary Self Identification of Gender, Ethnicity/Race

• Voluntary Self Identification of Veteran Status

• Voluntary Self Identification of Disability

Any answers you give will be kept private and will not be used against you in any way. You are not required to disclose any of this information and completion of the questionnaires is entirely voluntary.

Invitation to Self-Identify Protected Veteran Status

Classifications are defined as follows:

• A "disabled veteran" is one of the following:

• 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

• A person who was discharged or released from active duty because of a service-connected disability.

• A "recently separated veteran" means any 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.

• An "active duty wartime or campaign badge 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.

• An "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.

Protected veterans may have additional rights under USERRA - the Uniformed Services Employment and Reemployment Rights Act. In particular, if you were absent from employment in order to perform service in the uniformed service, you may be entitled to be reemployed by your employer in the position you would have obtained with reasonable certainty if not for the absence due to service. For more information, call the U.S. Department of Labor's Veterans Employment and Training Service (VETS), toll-free, at 1-866-4-USA-DOL.

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. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information provided will be used only in ways that are not inconsistent with the Vietnam Era Veterans' Readjustment Assistance Act of 1974, as amended.

The information you submit will be kept confidential, except that (i) supervisors and managers may be informed regarding restrictions on the work or duties of disabled veterans, and regarding necessary accommodations; (ii) first aid and safety personnel may be informed, when and to the extent appropriate, if you have a condition that might require emergency treatment; and (iii) Government officials engaged in enforcing laws administered by OFCCP, or enforcing the Americans with Disabilities Act, may be informed.

I IDENTIFY AS ONE OR MORE OF THE CLASSIFICATIONS OF PROTECTED VETERAN LISTED ABOVEI AM NOT A PROTECTED VETERANI DO NOT WISH TO IDENTIFY AT THIS TIME

Voluntary Self-Identification of Disability

Why are you being asked to complete this form?

We have a goal of having at least 7% of our workers as people with disabilities. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question 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 this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way.

How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your "major life activities." If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to:

• Alcohol or other substance use disorder (not currently using drugs illegally)

• Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS

• Cancer (past or present)

• Cardiovascular or heart disease

• Celiac disease

• Cerebral palsy

• Deaf or serious difficulty hearing

• Depression or anxiety

• Diabetes

• Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders

• Epilepsy or other seizure disorder

• Gastrointestinal disorders, for example, Crohn's Disease, or irritable bowel syndrome

• Intellectual or developmental disability

• Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD

• Missing limbs or partially missing limbs

• Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports

• Nervous system condition for example, migraine headaches, Parkinson's disease, or Multiple sclerosis (MS)

• Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities

• Partial or complete paralysis (any cause)

• Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema

• Short stature (dwarfism)

• Traumatic brain injury

Please check one of the boxes below:

Yes, I have a disability, or have had one in the pastNo, I don't have a disability and haven't had one in the pastI don't want to answer

PRIVACY POLICY ACKNOWLEDGEMENT

By checking this box, you acknowledge and consent to terms of the privacy policy which applies to the applicant tracking service being offered by WINDY CITY MOVERS®. The privacy policy offers an explanation of how and why your data will be collected, how it will be used and disclosed, how it will be retained and secured, and what legal rights are associated with that data (including the rights of access, correction, and deletion). The policy also describes legal and contractual limitations on these rights. The specific rights and obligations of individuals living and working in different areas may vary by jurisdiction.

I have read and agree to the Terms & Conditions *

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