Affirmative Action Voluntary Information

We consider all applicants for positions without regard to race, color, religion, sex, national origin, citizenship, age, mental or physical disabilities, veteran/reserve/national guard or any other similarly protected status. We also comply with all applicable laws governing employment practices and do not discriminate on the basis of any unlawful criteria.

To be completed by applicant on a voluntary basis. Not for interview purposes. To be filed separately from application/ resume.

In an effort to comply with requirements regarding government record-keeping, reporting and other legal obligations which may apply, we invite you to complete this applicant data survey. Providing this information is STRICTLY VOLUNTARY. Failure to provide it will not subject you to any adverse personnel decisions or actions. Your cooperation is appreciated.

Please be advised that this survey is not part of your official application for employment. It will not be used in any hiring decisions. The information will be used and kept confidential in accordance with applicable laws and regulations.

APPLICANT INFORMATION
* Indicates required fields. Enter Job Code number 0000 if you don't have one.

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Position(s) applied for*	Job Code*	Name of person who referred you (if applicable)
First Name, MI*	Last Name*	Email*
Street Address*	City*	State*
Zip*	Country*
I do not wish to provide the "Affirmative Action Information" at this time. I understand doing so will not subject myself to any adverse personnel decisions or actions.         Please select one of the following Equal Employment Opportunity Identification Groups: White (not of Hispanic origin) Asian/Pacific Islander American Indian / Alaskan Native Hispanic Black (not of Hispanic Origin) Other         Gender Male     Female           Referral Source Walk-in Government Employment Agency Employee Private Employment Agency School Relative Advertisement Source (Please Specify) Other         Upload Your Resume Here     Acceptable File Types: .PDF, .DOC, and .TXT   Before clicking Submit Form, please be sure you have completely filled out the form and attached your resume. After clicking Submit Form please wait until the Thank You screen appears before performing any other operations.