Applicant EEO Self-Identification
Name
Position Applied For
Gender
Male
Female
I do not wish to disclose
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
I do not wish to disclose
Race (Select all that apply)
White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
I do not wish to disclose
Veteran Status
Yes
No
I do not wish to disclose
Disability Status
Yes
No
I do not wish to disclose