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Equal Opportunity and Affirmative Action Disclosure:

Tekla Research, Inc. is an Equal Opportunity and Affirmative Action Employer, and selects the best matched individual for each position based on job related criteria and without regard to race, color, sex, national origin, age, disability, veteran status, or any other protected status as defined in local, state, or federal fair employment guidelines. Statements made by applicants are subject to careful review for accuracy. Any misrepresentation or omission will result in disqualification from further consideration for employment or discharge from employment if discovered after the individual’s hire date. This application will remain in an active file for thirty (30) days, and if consideration after that time is expected, the applicant must reapply in person

Applicant's Certification:

I certify and affirm that the information provided by me during interviews, on this application and all other related documents to be true in all respects and I further understand that any misrepresentation or omission will be grounds for immediate termination from further consideration or possible employment.

Investigation Consent:

I hereby authorize Tekla Research, Inc., to fully investigate my suitability for employment by verifying and pursuing any source of information, which Tekla Research, Inc. deems to be related to my possible employment. This investigation may include but not be limited to law enforcement agency records, driving records, education and certification records, and past employers, and related references. I release all parties contacted by Tekla Research, Inc. and their agents from any and all liability and damages for providing such information. I understand that the employment relationship may only begin and continue with the mutual consent of Tekla Research, Inc. and myself.

Examination Consent:

I agree to submit, as requested, to a physical examination and body fluid analysis any time requested after an offer of employment has been made. This test and/or analysis will be paid for by Tekla Research, Inc. and retained in a confidential file.

Agreement To Arbitrate:

I understand and agree that that any and all claims or disputes that I may have with Tekla Research, Inc., arising out of or related to my application for employment, any employment, or any separation from employment, will be resolved exclusively by final and binding arbitration. Should I be extended an offer of employment, my acceptance of such an offer will reaffirm my agreement to final and binding arbitration for the resolution of any and all claims. This is a written agreement to arbitrate, binding upon me as well as Tekla Research, Inc., and it shall be enforceable pursuant to the provisions of the Federal Arbitration Act, and the Virginia Uniform Arbitration Act.

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Candidate Information:










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Please list your key skills/competencies. Examples could include: Engineering, Test and Evaluation, Logistics, Business Financial Management, Information Technology, Information Assurance/Cyber Security, Acquisition Support, Program Management, Program Analyst, Foreign Military Sales, Technical Writer, Engineering Technician, Training, Administrative,

Equal Opportunity Information:

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Invitation to Self-Identify as a Veteran

This employer is 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. These classifications 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.

If you believe you belong to any of the categories of protected veterans listed above, please indicate by checking the appropriate box below.

As a Government contractor subject to VEVRAA, we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA.

Form CC-305
OMB Control Number 1250-0005
Expires 1/31/2020
Voluntary Self-Identification of Disability

Why are you being asked to complete this form?
Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities.i 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.

If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.

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 an 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 boxes below:

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 a sign language interpreter, or using specialized equipment.

iSection 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) website at

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

Previous Employment Information:


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