As a government contractor, Clayton Homes, Inc. is committed to providing a non-discriminatory employment environment for its employees. To fully comply with all laws regarding Equal Employment Opportunity and Affirmative Action, Clayton Homes tracks race, gender, disability status, and veteran status of all applicants. We need your help with this process. Providing this information is completely voluntary and refusal to do so will not affect the processing of your application

This information is kept separate from your application and not viewed by any hiring manager or Recruiter.

Form CC-305

OMB Control Number 1250-0005

Expires 04/30/2024

Why are you being asked to complete this form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.

Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to:

• Alcohol or other substance use disorder (not currently using drugs illegally)
• Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
• Blind or low vision
• Cancer (past or present)
• Cardiovascular or heart disease
• Celiac disease
• Cerebral palsy
• Deaf or serious difficulty hearing
• Diabetes
• Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
• Epilepsy or other seizure disorder
• Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome
• Intellectual or developmental disability
• Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
• Missing limbs or partially missing limbs
• Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports
• Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
• Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
• Partial or complete paralysis (any cause)
• Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
• Short stature (dwarfism)
• Traumatic brain injury

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.

Please select your Veteran Status (Part 60-300):

This employer is a Government contractor subject to the Vietnam Era Veterans' Readjustment Assistance Act of 1974, as amended, 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.

Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information provided will be used only in ways that are not inconsistent with the VEVRAA, as amended.

•    I understand that every aspect of my employment with Clayton shall be on an “at will” basis, meaning that I or Clayton may terminate my employment at any time, or for any reason, with or without cause. I also understand that Clayton expressly reserves its inherent authority to manage and control the business enterprise and to exercise its sole discretion to determine all issues pertaining to my employment, including all matters pertaining to promotion, job assignment, and the size of the workforce, demotion, transfer and discipline. I further understand and agree that no one other than the President of Clayton Homes may modify or change the “at will” nature of my employment relationship. Any such modifications must be in writing and signed by the President of Clayton Homes and me to be effective.

•    As part of Clayton Homes’ employment procedures, an applicant will be required to undergo a post-offer, pre-employment medical examination and/or alcohol and drug screening conducted by a physician or laboratory designated by Clayton Homes. As a condition of my employment, I understand that I am subject to drug testing based upon random sampling or reasonable suspicion determined in the sole discretion of Clayton Homes at any time during my employment.

Additionally, I hereby give my consent and authorization to Clayton Homes and any other persons or entity which they may employ to test me for drugs and alcohol, to drug test me including the taking and testing of my urine, blood and hair. I also agree to fully cooperate with Clayton Homes and any persons or entity which they may use in connection with testing me for drugs and alcohol. I understand and agree that a designated representative of Clayton Homes may, in the company’s sole discretion, accompany me to the laboratory for testing. I understand that my failure to give consent may result in Clayton Homes’ refusal to hire me, or if hired, may subject me to disciplinary action, up to and including termination.

•    I also understand that all new employees are under a three-month introductory status and that I must satisfactorily complete this term before I am considered a “regular” employee. Any significant absence will automatically extend the introductory period by the length of the absence. If Clayton Homes determines that the designated period does not allow sufficient time to thoroughly evaluate the employee’s performance, the introductory period may be extended for a specific period.

•    I hereby agree that all documents, records, files, manuals, forms, materials, supplies, programs, trade secrets and other information which will come into my possession from time to time during employment and/or affiliation with Clayton Homes shall be deemed to be confidential and proprietary information concerning Clayton Homes derived from such items is also exclusive property of the company. I further acknowledge that all such confidential and proprietary information concerning Clayton Homes derived from such items is also confidential and proprietary. With the prior written approval of a duly authorized representative of Clayton Homes, I agree to keep confidential and not cause to be disclosed, directly or indirectly, or otherwise make use of my said confidential or proprietary information or trade secrets or reveal the same to any third party, except as required by law.

•    It is my understanding that my employment at Clayton Homes is dependent upon obtaining positive references from my previous employers and also upon obtaining a positive report from the security background check that is required. A negative reference or report may or may not prevent me from working at Clayton Homes. However, the reference or report will be evaluated as to its effect upon my employment.

•    Employment Dispute Resolution Agreement: I acknowledge that Company team members and those who apply to become Company team members are required to sign an Employment Dispute Resolution Agreement. The terms of that Employment Dispute Resolution Agreement shall apply to me and shall control in the event it conflicts with any other agreement.

I agree with the Company as follows:

•    Jury Trial Waiver: To have all matters tried without a jury. My signature below indicates that I agree to waive my right to trial by jury and I further agree to have any legal proceeding against the Company or any of its subsidiaries or affiliates tried without a jury.

•    Class Action Waiver: To not be a member of a class-action lawsuit against the company. My signature below indicates that I agree to waive any right I may have to be a member of a class action lawsuit against the Company.

If any portion of the Additional Terms is deemed unenforceable, then it will be severed from the employment form and the remainder of the employment form will apply.

•    If any of the provisions of this agreement are found by a court to be legal unenforceable, such provision(s) shall be severed and the remaining provisions of this agreement shall remain enforceable and be given the maximum legal effect.

•    I certify that the information I have provided in this application is true and complete to the best of my knowledge and understand that any misrepresentation, omission of facts, or misleading information is ground for refusal to hire, or if hired, dismissal.

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