Applicant Accommodation Request

United States

Full Time

Evergreen

Entry Level

This application must be completed by the applicant when making a request for accommodation due to a documented disability covered by the Americans with Disabilities Act (ADA). To be eligible for a reasonable accommodation under the ADA, applicants must meet the minimum qualifications of the position for which they are applying.

FiveBy is an equal opportunity employer.

All employment decisions – including the decision to hire, promote, discipline, or discharge – are based on merit, competence, performance, and business needs. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, disability (as defined by applicable law), medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

Work environment and physical demands

In order to perform this role, the selected employee must be able to operate within a standard office environment, with or without reasonable accommodation. This includes the ability to withstand long periods of staring at a computer screen, exposure to fluorescent lights, and repetitive motion associated with writing and/or continuous computer use. This role requires the ability to stand or sit for long periods of time, communicate with others via speech or text, and use hands or other tools to operate a computer and keyboard. Light to moderate lifting may be required. Due to the nature of our work, employees must be able to uphold the stress of traveling to client sites as well as adapt (within reason) to the conditions of client sites. Regular, predictable attendance is required, as is the ability to work outside of standard business hours as business needs dictate.

Accommodation

If you require accommodation due to a documented disability covered under the Americans Disability Act, click here to submit your accommodation request. To be eligible for accommodation under the ADA, applicants must meet the minimum qualifications of the position for which they are applying.

Apply for this position

Required*

First Name*

Last Name*

Email Address*

Phone*

What position are you applying for?*

Describe the impairment(s) which limit your ability to apply and/or compete for the position to which you are applying.*

Describe what specific parts of application process you are unable to participate in because of your impairment(s).*

Describe the accommodations you are requesting. Be as specific as possible.*

Describe how the requested accommodation(s) will enable you to apply for and/or compete for the job to which you are applying.*

Please provide any other information that might help FiveBy evaluate your request.*

What is your preferred channel for additional communications regarding your request?* PhoneEmailText

I have voluntarily completed this Applicant Accommodation Request Form and all information provided is complete, true, accurate, and not misleading. I give FiveBy Solutions, Inc. (FiveBy) permission to explore coverage and reasonable accommodations under the Americans with Disabilities Act. This may include speaking to appropriate FiveBy personnel and I acknowledge that such communication is job-related and consistent with business necessity. I understand that all information obtained during this process will be maintained and used in accordance with ADA confidentiality requirements.* By checking this box, I acknowledge and agree to the above statement.

Human Check*

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