InSolves Employee Resources | EEO Questionnaire

Instructions: This questionnaire is comprised of three (3) parts. Please note that submission of information related to any and all parts of this questionnaire is voluntary. Review the text contained in each part carefully, as it contains important notices regarding the submission and use of your information. This questionnaire shall be made available for completion at any time in the future by requesting a form via email at ee0survey@insolves.com, or via mail to Innovative Solutions EEO Survey, 1962 Shyville Road, Piketon, OH 45661.

Part 1: Employee Questionnaire for Self-Identification of Race/Ethnicityn
n
ANTI-DISCRIMINATION NOTICE:n
It is an unlawful employment practice for an employer to fail or refuse to hire or discharge an individual, or otherwise to discriminate against an individual with respect to that individual’s terms and conditions of employment, because of such individual’s race, color, religion, sex or national origin.n
n
Innovative Solutions Unlimited, LLC (herein “Innovative Solutions”) as your employer is subject to certain nondiscrimination and affirmative action recordkeeping and reporting requirements which require Innovative Solutions to invite employees to voluntarily self-identify their race/ethnicity. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable federal laws, executive orders, and regulations, including those which require the information to be summarized and reported to the Federal Government for civil rights enforcement purposes.n
n
If you choose not to self-identify your race/ethnicity at this time, the Federal Government requires Innovative Solutions to determine this information by visual survey and/or other available information. n
n
For civil rights monitoring and enforcement purposes only, all race/ethnicity information will be collected and reported in the categories identified below. The definitions for each category have been established by the Federal Government. If you choose to voluntarily self-identify, you may mark only one of the boxes presented below.n
n
Invitation to Self-Identifyn
n
What is your race/ethnicity? Please mark the one box that describes the race/ethnicity category with which you primarily identify:n

Part 2: Employee Questionnaire for Self-Identification of Veteran Statusn
n
Innovative Solutions invites employees to self-identify veteran status, pursuant to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), as amended by the Jobs for Veterans Act, and its implementing regulations. Information contained in this part will be kept confidential and may only be used in accordance with the applicable federal laws and regulations.n
n
Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. If you choose not to provide information at this time, you may voluntarily provide it at any time by requesting and completing this form.n
n
Invitation to Self-Identifyn

Veteran Status (if applicable):

Part 3: Employee Questionnaire for Self-Identification of Physical or Mental Disability

It is the policy of Innovative Solutions not to discriminate against any employee or applicant for employment because he or she is a qualified individual with a disability. It is also the policy of Innovative Solutions to take affirmative action to employ and advance in employment, all persons regardless of their status as qualified individuals with disabilities, and to base all employment decisions only on valid job requirements.

This policy applies to all employment actions, including but not limited to recruitment, hiring, upgrading, promoting, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training at all levels of employment.

This information is requested on a voluntary basis and refusal to provide it will not subject you to any adverse treatment. Additionally, any information provided will not be used in a manner inconsistent with the provisions of the Americans with Disabilities Act. Innovative Solutions shall maintain a separate file on persons who have self-identified and may provide that file to the Office of Federal Contract Compliance Programs (OFCCP) upon request.

Invitation to Self-Identify

Do you have a disability that you would like to identify under our program?

If “No,” the employee reserves the right to self-identify at any time by notifying Innovative Solutions management. If "Yes", please indicate below the nature of your disability:

Would you like to request an accommodation for your disability?

Please enter the last 4 digits of your social security code for verification purposes: