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Affirmative Action


We provide equal opportunity to all qualified individuals regardless of race, color, religion, age, sex, national origin, veteran status or disability. Providing this information is voluntary. We ask for this information to maintain records. Any information you voluntarily provide is confidential and will not be considered in making any employment decision. If you choose not to complete this form, it will not affect your being considered for employment.

RACE/ETHNIC CATEGORY

• American Indian or Alaska Native - A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.

• Asian - 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 Philippine Islands, Thailand, & Vietnam.

• Black or African American - A person having origins in any of the black racial groups of Africa.

• Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

• Native Hawaiian or Other Pacific Islander - A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

• White - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

• Two or More Races - All persons who identify with more than one of the five races.

• I Prefer Not to Answer


GENERAL INFORMATION


Emergency contact


PERSONAL REFERENCES


Work Experience // Contact information


Work Experience (№2) // Contact information


Work Experience (№3) // Contact information