The following
information is requested in accordance with Executive Order 11246 and its
implementing regulations. It is requested for statistical reporting and to
meet federal affirmative action monitoring requirements. It is treated in a
highly confidential manner. Provision of the information is strictly
voluntary; a decision not to provide the information will not affect
consideration of your application. However, we urge your cooperation in this
matter and thank you in advance for your assistance.
Birthdate:
Gender:
Male
Female
Zip Code:
State:
Race/Ethnic Information
White
BlackHispanic
Asian
American
Indian/Alaska NativeMultiracial
Native
Hawaiian/Pacific Islander