I BELONG TO THE FOLLOWING CLASSIFICATIONS OF PROTECTED VETERANS (CHOOSE ALL THAT APPLY):
NOTE: If the Date of Discharge is within the past three years, and this option
is selected, then you are selecting a classification as a "recently separated
veteran"
[ ] ACTIVE WARTIME OR CAMPAIGN BADGE VETERAN
[ ] ARMED FORCES SERVICE MEDAL VETERAN
I am a protected veteran, but I choose not to self identify the classifications to which I belong.
I am NOT a protected veteran.
If you are a disabled veteran it would assist us if you tell us whether there are accommodations we could make that would enable
you to perform the essential functions of the job, including special equipment, changes in the physical layout of the job, changes
in the way the job is customarily performed, provision of personal assistance services or other accommodations. This information
will assist us in making reasonable accommodations for your disability.
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 Vietnam Era Veterans' Readjustment Assistance
Act of 1974, as amended.
The information you submit will be kept confidential, except that (i) supervisors and managers may be informed regarding
restrictions on the work or duties of disabled veterans, and regarding necessary accommodations; (ii) first aid and safety
personnel may be informed, when and to the extent appropriate, if you have a condition that might require emergency
treatment; and (iii) Government officials engaged in enforcing laws administered by the Office of Federal Contract Compliance
Programs, or enforcing the Americans with Disabilities Act, may be informed.
Voluntary Self-Identification of Protected Veteran Status
Why are you being asked to complete this form?
As a Government contractor subject to the Vietnam Era Veterans' Readjustment Assistance Act of 1974(VEVRAA), the University
of Dayton is required to submit a report to the United States Department of Labor each year identifying the number of our
employees belonging to each specified “protected veteran” category.
The protected veteran categories are defined as follows:
1. A “disabled veteran” is one of the following:
a. 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
b. a person who was discharged or released from active duty because of a service-connected disability.
2. 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.
3. 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.
4. 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.
