EEO Anonymous Self-Assessment Form
Personal Information
Gender
Male
Female
Non-binary
Prefer not to say
Ethnicity
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
Two or More Races
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Do you have a disability?
Yes
No
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Are you a protected veteran?
Yes
No
Prefer not to say
Feedback (Optional)
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