CONDITIONAL OFFER OF EMPLOYMENT SUBJECT TO
JOB DUTY CONFIRMATION QUESTIONNAIRE
Notice: You have received a conditional offer of employment. In compliance with the
Americans with Disabilities Act, this job duty confirmation questionnaire is required of all
individuals who received offers for the job for which you applied. Your answers to this
questionnaire will be kept confidential and separate from your personnel file. The job offer
that you have received is conditioned upon your ability to perform the job duties of the
position. Consistent with the ADA and other applicable federal and state laws, it is the policy
of Rogue to provide reasonable accommodation when requested by a qualified applicant or
employee with a disability, unless such accommodation would cause an undue hardship.
The policy regarding requests for reasonable accommodation applies to all aspects of
employment, including the application and hiring process. If reasonable accommodation is
needed to perform any of the tasks set forth below, whether now or later in your employment,
please contact David Hooper at 325-650-2320.
The Genetic Information Nondiscrimination Act of 2008 (GINA) prohibits employers
and other entities covered by GINA Title II from requesting or requiring genetic information
of an individual or family member of the individual, except as specifically allowed by this
law. To comply with this law, we are asking that you not collect or provide any genetic
information when responding to the questions set forth in this form. “Genetic information,”
as defined by GINA, includes an individual's family medical history, the results of an
individual's or family member's genetic tests, the fact that an individual or an individual's
family member sought or received genetic services, and genetic information of a fetus carried
by an individual or an individual's family member or an embryo lawfully held by an individual or family member receiving assistive reproductive services.
Dear [New Hire},
We are pleased that you have chosen to accept the position of (full time/part time)
with Rogue Energy Services, LLC’s conditional offer of employment and look forward to your first day of work. We believe you will find working at Rogue a rewarding experience.
As part of your employment with Rogue, you will be provided with an employee handbook,
Rogue policies, and training. After sixty (60) days, you will be eligible to receive all normal and
customary benefits offered to regular [full time/part time] employees as outlined in the employee
handbook. You will still be considered an at-will employee.
Your employment with Rogue is contingent on your ability to perform all job functions,
duties, and responsibilities associated with the position with or without reasonable
accommodations. Prior to completing your job application, Rogue provided you with a job description. In order to determine whether you can fulfill these responsibilities, Rogue requests that you answer the following questions. Rogue will notify you once it has reviewed your responses.