Invitation to Self-Identify

As a federal contractor and an equal opportunity employer committed to ensuring that our workplace is inclusive and diverse, the University of South Alabama and USA Health are required to monitor and evaluate its efforts; and, to submit a report to the United States Department of Labor each year identifying the number of our employees who have a disability or are protected veterans. If you are an individual with a disability, disabled veteran or other protected veteran, please inform us by completing and submitting the following forms. You may complete the forms now or at any time during your employment with the University of South Alabama. Completing these forms is voluntary, and refusal to provide it will not subject you to any adverse treatment. This information is kept strictly confidential and used only in conformity with federal reporting and record keeping requirements.

Voluntary Self-Identification of Disability

Voluntary Invitation to Self-Identify for Protected Veteran Status

 

If you need a paper copy and are submitting a paper form, please visit us at:

If you are an employee or a job applicant of the University of South Alabama’s General Division (Campus) , please visit us at:

Human Resources
USA Technology & Research Park Bldg III, Suite 2200
650 Clinic Drive
Mobile, AL 36688-0002
Phone (251) 460-6133
FAX (251) 460-7483

If you are an employee or a job applicant of USA Health, including its hospitals and clinics, the USA Health Care Management, LLC and the University of South Alabama Health Care Authority, please visit us at:

USA Health Human Resources
251 Cox Street Suite 1570, CWEB 1.5
Mobile, AL 36604
Phone (251) 415-1604
FAX (251) 415-1606