THE INFORMATION BELOW IS TOTALLY VOLUNTARY
PLEASE READ CAREFULLY: As an affirmative action employer, we must monitor our equal opportunity and affirmative action program, and report the results to government agencies. Please help us gather this information by identifying your sex, race or ethnicity and disability status on this form. Providing this information is COMPLETELY VOLUNTARY. If you choose not to provide some or all of this information you will not be subject to any negative or adverse treatment. The information you provide will be used ONLY to monitor our compliance with equal opportunity laws and regulation and for no other purpose. (This form is not used for employment decisions. If you have a disability and need an accommodation so that you can perform the duties of the job for which you are applying please notify us in some other manner). When we receive this form we will immediately place it in a confidential file separate from your application. If you wish, you may mail this form to us in an envelope separate from this application.