We are an Equal Opportunity/Affirmative Action employer and voluntarily comply with the laws and regulations related to employment and the advancement of employment opportunities for qualified disabled persons, protected veterans, women and members of minority groups. Any information you provide is voluntary, confidential, and separate from your application. This information is requested because we are a federal contractor and it is used for government reporting and Affirmative Action recordkeeping purposes only. Refusal to provide this information will not subject you to adverse treatment. Federal Government Definitions of Affirmative Action Categories American Indian or Alaska Native (Not Hispanic or Latino): A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment. Asian (Not Hispanic or Latino): A person 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. Black or African American (Not Hispanic or Latino): A person having origins in any of the black racial groups of Africa. Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race. Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino): A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands. White (Not Hispanic or Latino): A person having origins in any of the original peoples of Europe, the Middle East, or North Africa. Two or More Races (Not Hispanic or Latino): All persons who identify with more than one of the above five races.

Form: VETFORM We maintain an Affirmative Action Plan for Veterans. As a Government contractor subject to the Vietnam Era Veterans’ Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA), which requires Government contractors to take affirmative action to employ and advance in employment: (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans. The classifications for protected veterans are defined as follows: 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 read the following statement carefully, then acknowledge that you have read and approved it by providing the information requested at the bottom of the page. Please note that an esignature is the electronic equivalent of a hand-written signature. I certify that the information contained in the application is correct to the best of my knowledge and understand that falsification of this information is grounds for dismissal in accordance with Colby Co. policy. I authorize representatives of the former employers, other than current, and references listed to give you information concerning my previous employment and any pertinent information they may have and release all parties from all liabilities for any damage that may result from furnishing this information to you. I understand that if employed, my employment will be at will and can be terminated anytime, either by myself or by Colby Co. without restriction. Do Not E-Sign Until You Have Read The Above Statement.