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Office of Compliance

EEOC Voluntary Information

Voluntary Information

Equal Employment Opportunity Request for
VOLUNTARY INFORMATION
(Not to be used in Hiring Decisions)

We request your VOLUNTARY completion of the following questions to be used ONLY for the purpose of monitoring the success of our Affirmative Action Plan.  This information will not be used to discriminate against or show preference for any application in the hiring process.

PERSONAL INFORMATION

NAME    SEX  MALE   FEMALE

DEPARTMENT AND POSITION APPLYING FOR

 Position Number  of Job Applying For 

RACE/ETHNIC BACKGROUND
ASIAN OR PACIFIC ISLANDER
HISPANIC
CAUCASIAN
AFRICAN AMERICAN
AMERICAN INDIAN OR ALASKA NATIVE
OTHER

UNITED STATES CITIZEN
YES  NO

VIETNAM-ERA VETERAN 
YES   NO

HOW DID YOU FIND OUT ABOUT THIS POSITION?  

DATE