VOLUNTARY SELF-IDENTIFICATION (Confidential- For statistical use only)
Please take a moment to complete the following information. We are an Equal Opportunity Employer and do not discriminate on the basis of age, race, religion, sex, national origin, disability, veteran status, sexual orientation, medical condition or any other classification protected by Federal, state, or local law. The information below will be used only in the compilation of data for Affirmative Action reporting. When reported, data will not identify any specific individual.
Completion of this data is entirely voluntary and will not affect your opportunity for employment, or terms or conditions of employment, if hired, in any way. We are required by law to collect this information for equal opportunity employment purposes, and it will not become a part of your personnel record. Identification can be declared at any time prior to, or if applicable, after hire.