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U.S. - Invitation to Self Identify
OSRAM is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, veteran status or any protected characteristics.If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, you may contact us at HRServices@osram.com for assistance.
To support our compliance with Federal and State government regulation and reporting requirements, we ask that you to complete this questionnaire to identify your gender, ethnicity / race and veteran status. Providing this information is optional and voluntary. This information will be kept confidential, and will be used only in accordance with the appropriate Affirmative Action and EEO regulations.
Hispanic or Latino: A person of Cuban, Mexican, Chicano, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race. White (Not Hispanic or Latino): A person having origins in any of the original peoples of Europe, the Middle East, or North Africa. Black or African American (Not Hispanic or Latino): A person having origins in any of the Black racial groups of Africa. 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. 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. American Indian or Alaskan Native (Not Hispanic or Latino): All persons having origins in any of the original people of North and South America (including Central America), and who maintain tribal affiliation or community attachment. Two or more Races (Not Hispanic or Latino): All persons who identify with more than one of the above five races.
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U.S. – Protected Veteran Voluntary Self-Identification
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.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 . 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.
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U.S. – Voluntary Self-Identification of Disability
Form CC-305 OMB Control Number 1250-0005 Expires 01/31/2021
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.
* 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 HIV/AIDS 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)
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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.
* Section 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
www.dol.gov/ofccp . 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.
Do you require any reasonable accommodation?
I am submitting this application for employment with an OSRAM company and understand that all OSRAM companies, including affiliates and subsidiaries are collectively referred to as OSRAM in this application and acknowledgement. I certify that I have read and understand the applicant instructions on page one of this application and that the answers given by me to the forgoing questions and statements made by me are complete and accurate to the best of my knowledge and belief. I understand that any false information, omission, or misrepresentations of facts called for in this application, whether on this document or not, may result in rejection of my application or discharge at any time during my employment. I authorize the company and/or its agents, including consumer reporting bureaus, to verify any of this information. I understand that OSRAM may share the information contained in this application for employment with other OSRAM employees and contractors for employment and administrative purposes, and I hereby consent to such sharing. During the application process and the period of my employment, I authorize OSRAM to conduct investigations regarding my personal and employment history, including contacting anyone it deems appropriate to discuss my background, past performance, and suitability for employment. Further, I hereby authorize my former employers, schools, and any other individual or organization to provide such information. I hereby release and discharge each of the above, including OSRAM, from any liability associated with such inquiries. I understand that if employed, I will be required to provide proof that I have a legal right to work in the United States. I understand that, if I am employed by OSRAM, OSRAM retains the unrestricted right to search and inspect any of its property. I will return all of OSRAM's property immediately upon any termination of my employment. I also understand that the use of illegal drugs is prohibited during employment. I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment. I understand that employment with OSRAM is on an “at-will” basis, which means that either party may terminate the employment relationship at any time for any reason not prohibited by law and that nothing by way of the background investigation process shall be construed as a guarantee of my continued employment with OSRAM for any period of time nor shall this Agreement be construed to establish or afford any right to claim specific compensation or other employee benefits.
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* Are you willing to work onsite?
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* Are you willing to work overtime and on weekends?
* Are you legally authorized to work in the US?
* Will you now or in the future require sponsorship to work in the US?
* What is your preferred start date?
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