This site will look much better in a browser that supports Web standards, but it is accessible to any browser or Internet device.

Human Resources Management Department

Applicant EEO Statistical Data Form

Federal and state guidelines require statistical analysis of our applicant information. The Human Resource Management Department maintains this confidential data. Completing the applicant EEO statistical data form is voluntary. The information you provide will not be attached to your application and will not be used in consideration of your application for employment.

Position Title:
Position Title Code:
Full Name:
Address:
Street
City
State
Zip
Telephone:
Date of Birth:
Gender: Male
Female
Ethnicity: White
Black
Hispanic
Asian or Pacific Islander
American Indian or Alaskan Native
Other
Signature:
Date:
Please enter the verification code shown in the image above:
 

Departments

Online Services