Thank you for submitting your application for employment with ARDX. Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please fill out the following form for employment.


Equal Employment Opportunity (EEO) and Disability form

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 if you are an applicant, or to perform your job if you are a current employee. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter or using specialized equipment.

All questions regarding ethnic, veterans, or disabled identification should be directed to the HR Manager.

Privacy Statement

  1. The principal purpose for requesting the information on this form is to comply with the following Federal requirements: (i) Title VII of the Civil Rights Act of 1964, as amended (ii) Executive Order 11246, as amended; (iii) section 402 of the Vietnam Era Veterans Readjustment Assistance Act of 1974, as amended; and (iv) Section 503 of the Rehabilitation Act of 1973, as amended, as well as relevant implementing regulations.
  2. The information supplied on this form is used for required aggregated workforce data reporting to the federal government and for the administration of the Company's equal employment opportunity/affirmative action and human resources programs. The information will be given to government agencies responsible for civil rights laws if these agencies request such information, or as otherwise required by law.
  3. Furnishing the information requested on this form is voluntary. There is no penalty for not completing the form.
  4. Individuals have the right to review their own records in accordance with the Company's personnel policies and collective bargaining agreements. Information on applicable policies and agreements can be obtained from the Human Resources Office.
  5. The Company office responsible for maintaining the information supplied on this form is the Chief Administration Office (CAO). (Copy of this form will be maintained in an employee employment record or any other record/log in accordance with EEO/AA regulations).

Persons of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race.

Race:
IMPORTANT – Only complete this section if you checked “No, I am not Hispanic or Latino” in the Ethnicity section above:


White:
Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.

Black or African–American:
Persons having origins in any of the black racial groups of Africa.

Asian:
Persons having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

American Indian or Alaskan Native:
Persons having origins in any of the original peoples of North and South America, (including Central American) and who maintains tribal affiliation or community attachment.

Native Hawaiian or Other Pacific:
Persons having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

Two or more races:
Persons who identify with more than one of the above races.


• Served on active duty for a period of more than 180 days, and any part of which occurred between August 5, 1964 and May 7, 1975 and were discharged or released other than dishonorably; or,

• Was discharged or released from active duty for a service connected disability if any part of the active duty was performed between August 5, 1964 and May 7, 1975; or

• 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 (such as The Persian Gulf, El Salvador, Grenada, Lebanon, Panama, Southwest Asia, Haiti, Somalia & Bosnia); or

• One who served on active duty in the U.S. military, ground, naval or air service during the one-year period beginning on the date of discharge or release from active duty (recently separated veteran).