Voluntary Self-Identification

 

The Equal Employment Opportunity Commission (EEOC) requires organizations with 100 or more employees to complete an EEO-1 report each year. Completion of this data is voluntary and will not affect your opportunity for employment or terms or conditions of employment. This form will be used for EEO-1 reporting purposes only and will be kept separate from all other personnel records only accessed by Human Resources Department. Completion of this form is strictly voluntary.

Following submittal of this form you will be directed to the application. If you do not wish to complete this form, proceed to application.

2014-04-24
Completion of Name affirms that the information submitted is true and accurate.
Male Female

American Indian or Alaskan Native (Not Hispanic or Latino)A person having origins in any of the original peoples of North or South America (including central America), and who maintains tribal affiliation or has community recognition as an American Indian or Alaskan Native.
Asian (Not Hispanic or Latino)A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippines, Thailand, and Vietnam.
Black or African American (Not Hispanic or Latino)A person having origins in any of any of the black racial groups of Africa.
Hispanic or LatinoA person of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origins, regardless of race.
Hispanic or Latino (White Race Only) A person of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture and of the White race.
Hispanic or Latino (All Other Races) A person of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, and of any race other than White.
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)A person having origins of any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
White (Not Hispanic or Latino)A person having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Two or More Races (Not Hispanic or Latino)All persons who identify with more than one of the above five races.