Get Help Now!  (312) 655-7700
  For Rent or Utility Assistance Click Here!

Visit us on Facebook Visit us on Twitter Visit us on YouTube Follow us Visit us on Twitter Visit us on Facebook Visit us on Instagram Visit us on YouTube Visit us on LinkedIn
Voluntary Information
We are required to compile the following information for statistical purposes in order to comply with certain federal regulations relating to Equal Employment Opportunity and Affirmative Action requirements. The information you provide is strictly on a voluntary basis and the content of the information will not affect your eligibility for employment. Likewise, if you choose not to provide this information it will not affect your eligibility for employment in any way.


First Name:
 

Middle Name (or Init):
 

Last Name:
 

Email:  


Diversity
DisabilityBecause we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities.  To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out.  If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.  View Form CC-305

How do I know if I have a disability?
You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such impairment or medical condition.

Disabilities include, but are not limited to:


  • Blindness
  • Deafness
  • Cancer
  • Diabetes
  • Epilepsy
  • Autism
  • Cerebral palsy
  • Schizophrenia
  • Muscular dystrophy
  • Bipolar disorder
  • Major depression
  • Multiple sclerosis (MS)
  • Missing limbs or partially missing limbs  
  • Post-traumatic stress disorder (PTSD)
  • Obsessive compulsive disorder
  • Impairments requiring the use of a wheelchair
  • Intellectual disability (previously called mental retardation)
 
Please check one of the options:
 

Reasonable Accommodation Notice:
  Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using sign language interpreter, or using specialized equipment.
   
 
Your Name:
   
 
Today's Date
   
 
   
(checking the check box is equivalent to handwritten signature)
 
Veteran Status

Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people belonging to the below defined protected veteran categories. To help us measure how well we are doing, we are asking you to tell us if you are a veteran belonging to one or more of the categories of veterans covered under VEVRAA, as defined below, who wishes to benefit under our affirmative action program (AAP) for covered veterans.  Completing this form is completely voluntary and you are under no obligation to respond, but we hope that you will choose to fill it out.  Please note that responses to this form will remain confidential with the Human Resources Department.  Your response will be used only for the necessary information to include in our Veterans 100 Report.  If you refuse to self-identify as a veteran belonging to one or more of the categories of veterans, your refusal will have no bearing on your application and will not subject you to any adverse treatment.

View full form

How do I know if I am a member of a Protected Veteran category?

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.



Please check one of the options:
 

 
Signature:
   
 
Today's Date
   
 
   
(checking the check box is equivalent to handwritten signature)
 
CAPTCHA image
Enter the code shown above:
   

The Catholic Charities of the Archdiocese of Chicago is an equal opportunity employer and consideration for employment is made without regard to race, color, religion, age, gender, gender identity, sexual orientation, national origin, disability status, protected veteran status, or any other characteristic protected by law.  For purposes of OFCCP (Office of Federal Contract Compliance Programs) compliance, all initial submissions received through this website will be treated as job seekers.