*Special Employment Notice to Disabled Veterans, Vietnam Era Veterans, and Individuals with Physical or Mental Handicaps*
Government contractors are subject to Section 402 of the Vietnam Era Veterans Readjustment Act of 1974, which requires they take affirmative
action to employ and advance in employment qualified disabled veterans and veterans of the Vietnam Era, and Section 503 of the Rehabilitation
Act of 1973, as amended, which requires government contractors to take affirmative action to employ and advance in employment qualified
handicapped individuals. Additionally, this Company complies with the Americans with Disabilities Act, and is willing to make reasonable
accommodations to aid the employment of handicapped or disabled applicants.
Although you are not required to disclose information about physical or mental limitations that you believe will not interfere with your
capability to do the job, if you want this Company to consider special arrangement to accommodate a physical or mental impairment, you may
identify that impairment in the space provided below and suggest the kind of accommodation that you believe would be appropriate.
If you are a disabled veteran, or have a physical handicap, you are invited to volunteer this information. The purpose is to provide information
regarding proper placement and appropriate accommodations to enable you to perform the job in a proper and safe manner. This information will be
treated as confidential. Failure to provide this information will not jeopardize or adversely affect any consideration you may receive for
If you wish to be identified, please indicate below
This Company does not require a pre-employment medical examination, but does reserve the right to require a medical examination after an offer of
employment is made to an applicant. All offers of employment are conditioned upon the passing of a drug test for the purpose of detecting the
use of drugs. Also, if an employment offer is made you may be asked to complete a medical questionnaire. Medical examinations and answers to
medical inquiries will be maintained on separate forms, and will be treated as confidential medical records. An applicant will not be excluded
from employment unless they have medical conditions that prohibit their ability to perform the essential job functions of the position he or she
desires with this Company. The Company will make reasonable accommodations to aid handicapped applicants or employees in fulfillment of
essential job functions. Written job descriptions are available and will be furnished to applicant upon request.
This Company does require that all applicants are pre-tested for their electrical knowledge and experience prior to considerations for
employment. The testing will be conducted by Amteck of Kentucky, located at 2421 Fortune Drive, Suite 150, P. O. Box 55194, Lexington, Kentucky,
or by approved individuals or organizations.
I hereby declare that all information provided in the above application is complete and accurate to the best of my knowledge, and I have read and
understand the terms and conditions for employment with Amteck. I also understand that providing false or misleading information on this
application may constitute grounds for termination.