OMB Control Number 1250-0005 Expires 1/31/2020
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:
As an Employee of Service Boss, Inc. herein referred to as (“Service Boss®”) providing said services for CLIENT herein referred to as (“Client”), as outlined in the Employee Agreement. (“Employee”) may have access to and receive “Confidential Information” (defined in the next section) about its staff, volunteers, mission, clients who it serves, and donors whose contributions are critical to the organization’s ability to serve its clients. Employee understands that Client owns its Confidential Information, it is a key asset of Client, and Client has the right to protect its Confidential Information from being given to or disclosed to any person or entity outside the organization without written authorization, of Client on behalf of the Employee who shall be bound by this Agreement. Employee enters into this Agreement voluntarily.
Definition of Confidential Information In this Agreement, “Confidential Information” consists of all and each of the following:
1. Client Materials. This part of the definition extends to non-public Client documents, notes, files, records, oral information, computer files and similar materials, and all copies of same, about all and each of the following: The organization’s mission and activities; strategic plans; financial information; business policies, procedures, and techniques; research or development projects or results; trade secrets; clients lists, client health information, and information maintained about Client donors, prospective clients, donors, and prospective donors; and any information about Client Employees and other business partners.
2. Confidential Information of Third Parties. This part of the definition extends to information that relates to or is claimed by a client, prospective client, donor, or prospective donor to be such person’s confidential information. Employee, shall respect and keep such information strictly confidential, and not disclose such information to any person or organization, without the written authorization of Client.
1. Unless authorized in writing by Client, Employee will keep all Confidential Information and will not copy, reproduce, or make notes of, divulge to anyone or any entity outside Client, or use any of the Confidential Information for Employee’s or another’s benefit or purpose. This includes during the period of time Employee is rendering services to Client, and after Employee’s contract ends.
2. Both during the period Employee is performing services for Client, and after Employee’s contract with Client, terminates, Employee will, when asked, promptly surrender and deliver to Client, (and will not keep in Employee’s possession or deliver to anyone else or other entity) the Confidential Information and all copies of same, and any and all other property of Client.
1. Employee understands that a violation of this Agreement likely will result in disciplinary action including possibly the termination of Employee’s contract with Client. Employee further understands that Client will have the right to go to court to obtain any equitable and legal remedies that are appropriate for Client to protect its legal rights in its Confidential Information. Employee agrees that Pennsylvania law governs this Agreements and its interpretation.
2. Client waiver or failure to enforce any violation or provision of this Agreement will not constitute a waiver of its rights hereunder with respect to any violation or provision of this Agreement, and will be effective only if in writing, signed by Client, and then only in the specific instance and for the specific purpose given.