Annual EEO Self-Identification Update Form
Full Name
Employee ID
Department
Gender
Male
Female
Non-Binary
Prefer Not to Say
Other
Ethnicity
Hispanic or Latino
White (Not Hispanic or Latino)
Black or African American (Not Hispanic or Latino)
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
Asian (Not Hispanic or Latino)
American Indian or Alaska Native (Not Hispanic or Latino)
Two or More Races (Not Hispanic or Latino)
Prefer Not to Say
Other
Disability Status
Yes
No
Prefer Not to Say
Veteran Status
Yes
No
Prefer Not to Say
Completion of this form is voluntary and the information will be kept confidential in accordance with applicable laws and regulations.