This voluntary self-identification form contains questions that help us comply with our legal obligations, where applicable.
A few of these questions ask about potentially sensitive topics (e.g., your racial or ethnic origin, your health). For all questions, you can decline to answer. The responses you provide have no impact on hiring decisions and are kept for future applications. You can change the answers, and withdraw your consent, at any time.
Google is committed to equal opportunity employment regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, gender identity, age, citizenship, marital status, disability or Veteran status. Disclosure is voluntary, and this information will be kept confidential in compliance with Google's Candidate Privacy Policy. For more information please refer to our Equal Employment Opportunity policy and the EEOC's "Equal Employment Opportunity is The Law" (PDF).
Protected veteran qualification
Google is a Government contractor subject to the Vietnam Era Veterans' Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 ("VEVRAA"), 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. Read more about these protected veteran classifications.
If you believe you are a member of any of the categories of protected veterans listed above, please indicate by checking the appropriate box below. Your decision to provide the relevant information is purely voluntary on your part, and refusal to provide such information will not subject you to any adverse treatment. The information will not be used in a manner inconsistent with VEVRAA, as amended.
Voluntary self-identification of disability
OMB Control Number 1250-0005
Expires 04/30/2026
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.open_in_new
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) |
Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders |
Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS) |
| Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS |
Epilepsy or other seizure disorder |
Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities |
| Blind or low vision |
Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome |
Partial or complete paralysis (any cause) |
| Cancer (past or present) |
Intellectual or developmental disability |
Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema |
| Cardiovascular or heart disease |
Short stature (dwarfism) |
Celiac disease |
| Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD |
Missing limbs or partially missing limbs |
Traumatic brain injury |
| Cerebral palsy |
Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports |
Deaf or serious difficulty hearing |
| Diabetes |
|
|
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.