Affirmative Action: Voluntary Self Identification Form
We consider all applicants for positions without regard to race, color, religion, sex, national origin, citizenship, age, mental or physical disabilities, military/veteran status, or any other protected status. We also comply with all applicable laws governing employment practices and do not discriminate on the basis of any unlawful criteria. As required by law, we must record certain information to be made a part of our Affirmative Action Program.
To comply with requirements regarding government recordkeeping, reporting and other legal obligations that may apply, we ask you to complete this Voluntary Self-Identification Form. Providing this information is VOLUNTARY. This information will be used only in our Affirmative Action Program. Refusal to provide this information will have no bearing on your application and will not subject you to any adverse treatment. The information will be used and kept confidential in accordance with applicable laws and regulations. This survey is not part of your official application for employment.
Please complete the information requested below. Thank you for your cooperation.
Please check all boxes that apply to you: