Apply for Senior Database Administrator

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Summary
Title:Senior Database Administrator
ID:73123379
Department:Staff
Location:Boston, MA
Salary Range:N/A
Salary Range *Note*:N/A
Workplace Type:Remote
Contact Information
* Name:
Preferred Name:
* Address 1:
Address 2:
* City:
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* Zip:
* Phone:
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Attachments
* Application Materials:
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Cover Letter:
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Application for Employment
Referred By:
PERSONAL DATA
* Are you authorized to work in the United States for any employer?:
Yes   No
* Will you now or in the future require sponsorship for an employment visa (i.e. H-1B visa)?:
Yes   No
Do you have a bachelor’s degree?:
Yes   No
* Have you ever worked for Hinshaw & Culbertson LLP?:
Yes   No
If yes, when: At which location:
* Do you have any relatives who are employed by this organization?:
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If yes, please specify relative(s) name and position:

REFERENCES
Please list three professional references. (Optional)

Name:
*
Position:
Company:
Years known:
Telephone:
Email:
Name:
*
Position:
Company:
Years known:
Telephone:
Email:

 

Name:
*
Position:
Company:
Years known:
Telephone:
Email:

APPLICATION AFFIDAVIT
I understand that Hinshaw & Culbertson LLP subscribes to a policy of employment at will and that employment may be terminated by any staff member or the Company at any time.

I certify that the information contained in this application is true and correct. I authorize investigation of all matters contained in this application and agree that any omission of fact or misrepresentation would be cause for rejection of this application or would be sufficient cause for dismissal after my employment. I hereby authorize Hinshaw & Culbertson LLP to obtain references from my past employer.

* Signature (type name):
* Date:
General Questions - Professional Staff
* Are you authorized to work in the United States for any employer?
Yes
No
* Do you have a bachelors degree?
Yes
No
Salary
* Please state your salary expectation range in the box below, number only.
Voluntary Self-Identification of Disability

Voluntary Self-Identification of Disability

Form CC-305
Page 1 of 1
OMB Control Number 1250-0005
Expires 05/31/2023
Name:
Employee ID:
(if applicable)
Date:

Why are you being asked to complete this form?

Hinshaw & Culbertson is committed to equal employment opportunity as well as creating and fostering a diverse and inclusive workplace; we resolutely believe that the differences among us strengthen our Firm. In order for the Firm to maintain accurate information about the diversity of our applicant pool and workforce, we encourage you to share details about yourself and your unique characteristics.
Submission of this information will not impact the terms or conditions of your application. Please be assured the information collected will be subject to access by a limited group of Firm personnel. By completing this form, you confirm that the information submitted is accurate and understand it may be used by Hinshaw & Culbertson for data collection and reporting purposes. Identifying yourself as an individual with a disability is voluntary, and we hope that you will choose to do so. Your answer will be maintained confidentially and not be seen by selecting officials or anyone else involved in making personnel decisions.

How do you know if you have a disability?

For purposes of this survey, 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 impairment or medical condition or a person who is perceived by others as having such an impairment. Disabilities include, but are not limited to:
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  • Depression
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  • Hearing Impairment
  • Heart Disease
  • HIV-AIDS
  • Impairments Requiring the Use of a Wheelchair
  • Intellectual Disability
  • Migraine Headaches
  • Missing Limbs or Partially Missing Limbs
  • Multiple Sclerosis
  • Muscular Dystrophy
  • Obsessive Compulsive Disorder
  • Orthopedic Impairments
  • Paralysis
  • Post-Traumatic Stress Disorder
  • Schizophrenia
  • Speech Impairments
  • Thyroid Gland Disorders
  • Tuberculosis

Please check one of the boxes below:

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No, I Do Not Identify as an Individual with a Disability
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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.
 
For Employer Use Only
Employers may modify this section of the form as needed for recordkeeping purposes.

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Voluntary-Self Identification of Sexual Orientation
Hinshaw & Culbertson is committed to equal employment opportunity as well as creating and fostering a diverse and inclusive workplace; we resolutely believe that the differences among us strengthen our Firm. In order for the Firm to maintain accurate information about the diversity of our applicant pool and workforce, we encourage you to share details about yourself and your unique characteristics. Submission of this information will not impact the terms or conditions of your application. Please be assured the information collected will be subject to access by a limited group of Firm personnel. By completing this form, you confirm that the information submitted is accurate and understand it may be used by Hinshaw & Culbertson for data collection and reporting purposes.
Sexual Orientation:
Please check one of the boxes below
Yes, I am a member of the LGBTQ+ Community.
No, I am not a member of the LGBTQ+ Community.
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Other (Please specify)
Name
Date
Equal Opportunity Employment
Hinshaw & Culbertson is committed to equal employment opportunity as well as creating and fostering a diverse and inclusive workplace; we resolutely believe that the differences among us strengthen our Firm. In order for the Firm to maintain accurate information about the diversity of our applicant pool and workforce, we encourage you to share details about yourself and your unique characteristics.

Submission of this information will not impact the terms or conditions of your application. Please be assured the information collected will be subject to access by a limited group of Firm personnel.

By completing this form, you confirm that the information submitted is accurate and understand it may be used by Hinshaw & Culbertson for data collection and reporting purposes.



Gender:
Female
Male
Non-Binary
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Race/Ethnicity:
American Indian or Alaska Native
- A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment.
Asian
- A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Black or African American
- A person having origins in any of the Black racial groups of Africa.
Hispanic or Latino/Latina/Latinx
- A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race.
Middle Eastern or Northern African
- A person having origins in any of the original peoples of the Middle East or Northern Africa (e.g., Syria, Israel, Iran, Turkey, United Arab Emirates, Saudi Arabia, Palestine, etc).
Native Hawaiian or other Pacific Islander
- A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
Two or More Races
- A person who identifies with more than one of the above races.
White
- A person having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Decline to Answer
- If you decline to answer or choose not to self-identify your race/ethnicity at this time, the Firm may, on occasion, have to determine your race/ethnicity visually and/or by other available information.
Veteran Status/Military Service: (Please check all that apply)
I am Not a Protected Veteran
I am a Veteran and Identify as the Following
Active Duty Wartime or Campaign Badge Veteran
- 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.
Armed Forces Service Medal Veteran
- 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.
Disabled Veteran
- 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 a person who was discharged or released from active duty because of a service connected disability.
Recently Separated Veteran
- Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
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