Do I have to fill out this form? No. Filling out this form is voluntary, but we hope you will fill it out. Since the university is considered a government entrepreneur, we need to document our efforts to provide equal opportunities for qualified people with disabilities. To help us measure our efforts, we ask that you let us know if you have a disability or if you have ever had a disability. Your individual data will be treated confidentially. How is this information stored? Your ”Voluntary Disability Identification Form” will be kept separate from your personal file. What happens if I need to update my disability status? Since a person can be embarrassed at any time, you can submit an updated form if necessary. Who can I contact for more information? Lelanya Douet Director, Human Resources Compliance, Equal Employment Opportunity Programs Email: firstname.lastname@example.org Phone: (337) 482-2921 The University of Louisiana at Lafayette prohibits discrimination against federal, state, and local laws, including Titles VI and VII of the Civil Rights Act of 1964, the Age Discrimination in Employment Act of 1967, the Age Discrimination Act of 1975, the Equal Pay Act of 1963, Title IX of the Education Amendments of 1972, Executive Order 11246, Sections 503 and 504 of the Rehabilitation Act of 1973, Section 402 of the Vietnam-Era Veterans Readjustment Assistance Act of 1974, and the Americans with Disabilities Act of 1990. The University is subject to certain non-discrimination and affirmative action obligations with respect to record keeping and reporting pursuant to the Americans with Disabilities Act and sections 503 and 504 of the Rehabilitation Act of 1973 (as amended) for the enforcement of civil rights.
Due to the new regulations, the university is required to interview our current staff. It is the university`s policy not to discriminate against an employee or job applicant because they are a qualified person with a disability. It is also the policy of the university to take positive steps to employ all persons, regardless of their status as qualified persons with disabilities, and to base all employment decisions solely on valid professional requirements. This Directive shall apply to all employment measures, including but not limited to recruitment, transfer, promotion, degradation, dismissal, recall, dismissal, rates of pay or other forms of remuneration, at all levels of employment. The university invites applicants and staff to identify themselves as a person with a disability. The provision of this information is voluntary and the refusal to provide it does not result in any undesirable treatment. All information received will remain confidential and may only be used in accordance with the provisions of applicable federal, state and local laws and regulations. Applicants and employees may voluntarily declare their disability status at any time. Applicants can provide this information through the university`s online application process. Employees can voluntarily provide this information by filling out the form below.
Once you have completed your form, you can send it to Buchanan Hall, Rm 301, fax it to the Human Resources Office 337-482-1452, ATTN: HR Compliance, or fill it out via employee self-service available through ULINK. We are obliged to interview our employees regularly. If you would like to request appropriate accommodation, please contact the Director, Human Resources Compliance and Equal Opportunity Programs at 337-482-2921 or email email@example.com FAQ: Why am I being asked to complete this form? The University of Louisiana at Lafayette is considered a federal contractor and is required to retain and analyze data on the race, ethnicity, veteran status, and disability status of employees in accordance with Executive Order 11246 of the Office of Federal Contract Compliance Programs (OFCCP). Federal contractors and subcontractors must use a form developed by the OFCCP to search for a disability – ”Voluntary Disability Self-Identification Form” (Form CC 305-OMB Control Number 1250-0005). The agency requires the use of this form to investigate the state of disability before and after the offer. INVITATION TO IDENTIFY PEOPLE WITH DISABILITIES. .