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Please TYPE or PRINT clearly. This application must be completed and signed personally by the applicant. Each Question must be answered in full. if answer is NO or NONE, indicate such. We appreciate your interest in employment with the City of Schenectady.
We are an equal Opportunity Employer. We consider all applications for all positions without regard to race, color religion, gender, national origin, age, physical or mental disability, martial status, veteran status, sexual orientation, arrest/criminal record, genetic predisposition or carrier status, or any other legally protected status or class. Applicants requiring a reasonable accommodation to participate in the application and/or interviewing process are encouraged to contact the human Resources Offices.
Employment eligibility verification will be required upon employment.
Do not give dates
Do not give dates
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City of Schenectady Employment Application Voluntary Self-IdentificationStatistical Data Record
The City of Schenectady is an Equal Opportunity Employer and does not discriminate on the basis of race, color, sex, age, religion,
marital status, sexual orientation, gender identification, gender expression, status as a victim of domestic violence, citizenship,
national origin, disability, veteran status, or any other classification protected by Federal, State or Local law. The information below
will be used only in the administration of statistical data for Affirmative Action reporting.
Completion of this data is voluntary and will not affect your opportunity for employment, or terms or conditions of employment.
This information will be kept in a confidential file separate from the application for employment or examination.
Please return this page with your application.
-American Indian or Alaskan Native – A person having origins in any of the original peoples of North American and South
America (including Central America), and who maintains tribal affiliation or community attachment
-Asian/Hawaiian/Pacific Islander – A person having origins in any of the original peoples of the Far East, Southeast Asia, or
the Indian subcontinent including Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands,
Thailand, and Vietnam; or a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific
-Black or African American – A person having origins in any of the Black racial groups of Africa.
-Hispanic or Latino (All races) – A person of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish
culture or original, regardless of race.
-White – A person having origins in any of the original peoples of Europe, North Africa, or the Middle East, not of Hispanic
-Special Disabled Veteran – (A) a veteran 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 Department of Veteran Affairs for a disability
rated at 10 to 20 percent in the case of a veteran who has been determined to have a serious employment disability or (B)
a person who was discharged or released from active duty because of a service-connected disability.
-Vietnam Era Veteran – A Vietnam era veteran is a person who (1) served on active duty for a period of more than 180
days, any part of which occurred between August 5, 1964 and May 7, 1975, and was discharged or released with other
than a dishonorable discharge; (2) was discharged or released from active duty for a service connected disability if any
part of such active duty was preformed between August 5, 1964 and May 7, 1975; or (3) served on active duty for more
than 180 days and served in the Republic of Vietnam between February 28, 1961 and May 7, 1975
– Under the Rehabilitation Act of 1973, a disabled individual is one who: has a physical or mental
impairment which substantially limits one or more major life activity; has a record of such impairment; or is regarded as
having such impairment. Major life activities: caring for oneself, walking, seeing, hearing, speaking, breathing, learning
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