Voluntary Self-Identification

For government coverage purposes, we ask candidates to respond to the below self-identification survey. completion of the shape is entirely voluntary. Whatever your decision, it will not be considered in the hire process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file .
As set forth in BitGo ’ s peer Employment opportunity policy, we do not discriminate on the basis of any protected group status under any applicable jurisprudence .
gender
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Race & Ethnicity Definitions

If you believe you belong to any of the categories of protect veterans listed below, please indicate by making the allow survival. As a government contractile organ subject to the Vietnam Era Veterans Readjustment Assistance Act ( VEVRAA ), we request this data in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. classification of protect categories is as follows :
A “ disable veteran ” is one of the follow : a veteran of the U.S. military, establish, naval or air service who is entitled to compensation ( or who but for the acknowledge of military put out 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 menstruation beginning on the date of such veteran ‘s acquit or exhaust from active duty in the U.S. military, labor, naval, or air out service .
An “ active duty wartime or crusade badge veteran ” means a seasoned who served on active agent duty in the U.S. military, reason, naval or air service during a war, or in a crusade or excursion for which a political campaign badge has been authorized under the laws administered by the Department of Defense .
An “ Armed forces avail decoration veteran ” means a veteran who, while serving on active duty in the U.S. military, background, naval or air military service, participated in a United States military operation for which an Armed Forces military service decoration was awarded pursuant to Executive Order 12985 .
veteran Status

Form CC-305 OMB Control Number 1250-0005 Expires 05/31/2023

Voluntary Self-Identification of Disability

Why are you being asked to complete this form?
We are a federal contractile organ or subcontractor required by law to provide equal employment opportunity to qualified people with disabilities. We are besides required to measure our progress toward having at least 7 % of our work force be individuals with disabilities. To do this, we must ask applicants and employees if they have a disability or have ever had a disability. Because a person may become disabled at any time, we ask all of our employees to update their information at least every five years .
Identifying yourself as an individual with a disability is voluntary, and we hope that you will choose to do so. Your solution will be maintained confidentially and not be seen by selecting officials or anyone else involved in making personnel decisions. Completing the form will not negatively impact you in any room, careless of whether you have self-identified in the past. For more information about this shape or the equal employment obligations of union contractors under Section 503 of the Rehabilitation Act, visit the U.S. Department of Labor ’ sulfur Office of Federal Contract Compliance Programs ( OFCCP ) web site at www.dol.gov/ofccp .
How do you know if you have a disability? You are considered to have a disability if you have a physical or mental damage or aesculapian circumstance that substantially limits a major life natural process, or if you have a history or record of such an damage or medical stipulate .
Disabilities include, but are not limited to :

  • Autism
  • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, or HIV/AIDS
  • Blind or low vision
  • Cancer
  • Cardiovascular or heart disease
  • Celiac disease
  • Cerebral palsy
  • Deaf or hard of hearing
  • Depression or anxiety
  • Diabetes
  • Epilepsy
  • Gastrointestinal disorders, for example, Crohn’s Disease, or irritable bowel syndrome
  • Intellectual disability
  • Missing limbs or partially missing limbs
  • Nervous system condition for example, migraine headaches, Parkinson’s disease, or Multiple sclerosis (MS)
  • Psychiatric condition, for example, bipolar disorder, schizophrenia, PTSD, or major depression

disability Status
1Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor ‘s Office of Federal Contract Compliance Programs ( OFCCP ) web site at www.dol.gov/ofccp .
PUBLIC BURDEN STATEMENT : According to the Paperwork Reduction Act of 1995 no persons are required to respond to a solicitation of information unless such collection displays a valid OMB control number. This view should take about 5 minutes to complete .

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