2. 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.
4. Gender

   1. Female
   2. Male
6. Race/Ethnicity

   Please check one of the descriptions below corresponding to the ethnic group with which you identify.

   1. Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South of Central American, or other Spanish culture or origin regardless of race.
   2. White: A person having origins in any of the original peoples of Europe, the Middle East of North Africa.
   3. Black or African American: A person having origins in any of the black racial groups of Africa.
   4. Native Hawaiian or Other Pacific Islander: A person having origins in any of the peoples of Hawaii, Guam, Samoa or other Pacific Islands.
   5. Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia or the Indian Subcontinent, including Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, Philippine
   6. American Indian or Alaska Native: A person having origins in any of the original peoples of North and South America and who maintains tribal affiliation.
   7. Two or more races: All persons who identify with more than one of the above five races.
8. Disability

   Are you an individual with a physical or mental impairment which substantially limits one of more of your major life activities?

   1. Yes
   2. No
10. Veteran Status

    Are you a Veteran

    1. Yes
    2. No
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12. 1. Receive an email copy of this form.
13. Email address

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