Equal Opportunity Data Form

This form is voluntary! Information regarding handicaps, ethnicity, and military status is considered confidential and is used only in the purpose of promoting equal employment opportunity, in accordance with Federal regulations. Providing this information is strictly voluntary.  Your responses (or decision not to respond) will have no adverse effect on your job benefits or employment/advancement opportunities.

Marital Status

Gender

Race

Accommodations

Military Status

Application Signature

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