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Assistant Prosecutor Voluntary Self Identification Form 2021

  1. We request the information below in order to assist our equal employment opportunity efforts. This information is voluntary and in no way will affect the processing of your application or your being considered for employment.
    This information is confidential, will be processed separately, and the information given will be used for federal and state governmental statistical purposes only.
  2. Gender
  3. Race/Ethnicity
    Please check one of the descriptions below corresponding to the ethnic group with which you identify.
  4. Disability
    Are you an individual with a physical or mental impairment which substantially limits one of more of your major life activities?
  5. Veteran Status
    Are you a Veteran
  6. Leave This Blank:

  7. This field is not part of the form submission.