EEO Self-Identification Form
Full Name
Email Address
Gender
Female
Male
Non-Binary
Prefer not to say
Race/Ethnicity
Hispanic or Latino
White (Not Hispanic or Latino)
Black or African American (Not Hispanic or Latino)
American Indian or Alaska Native (Not Hispanic or Latino)
Asian (Not Hispanic or Latino)
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
Two or More Races (Not Hispanic or Latino)
Prefer not to say
Veteran Status
Protected Veteran
Not a Veteran
Prefer not to say
Disability Status
Yes
No
Prefer not to say
Your responses are voluntary and will be kept confidential. This information is used for equal employment opportunity record-keeping and reporting only and will not affect your candidacy.