Application for Employment

** PLEASE NOTE: COMPLETION OF THIS SECTION IS VOLUNTARY **

It is the policy of this company to offer equal opportunity with regard to all items and conditions of employment. The company complies with federal and state laws prohibiting discrimination on the basis of race, color, religion, creed, national origin, disability, veteran status, age, or any other protected characteristic. Certain government contractors have obligations to collect statistical data. This form is to meet that obligation and is strictly voluntary and will not be a part of the personnel file or will not be used for employment decision-making.

TO BE COMPLETED BY APPLICANT ON A VOLUNTARY BASIS, NOT FOR INTERVIEW PURPOSES. FILE SEPARATELY FROM APPLICATION.

In an effort to comply with requirements regarding government record keeping, reporting, and other legal obligations, which may apply, we request that you complete this applicant data survey. Providing this information is STRICTLY VOLUNTARY. Failure to provide it will not subject you to any adverse personnel decision or action. Your cooperation is appreciated.

Applicant Information