Affirmative Action Survey | Camp Red Cedar

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Voluntary Affirmative Action Survey

Instructions

This company is an Equal Opportunity Employer. As required by law, we must record certain information to be made part of our Affirmative Action Program

Applicants for employment are also invited to participate in the Affirmative Action Program by reporting their status as handicapped, disabled veteran, veteran of the Vietnam era or other minority. In extending this invitation you are also advised that: (a) workers (applicants) are under no obligation to respond, but may do so in the future if they choose; (b) responses will remain confidential within the Human Resources Department; and (c) responses will be used only for the necessary information to include in our Affirmative Action Program. We are a company that values diversity. We actively encourage women and minorities to apply.

Refusal to provide this information will have no bearing on your application and will not subject you to any adverse treatment.

Please complete the information requested below. Thank you for your cooperation.

Name

Position Applied For

Location:

Please check all that apply

View Definitions

Race or Ethnic Identity

Hispanic or Latino

White (not Hispanic or Latino)

Black or African American (not Hispanic or Latino)

Native Hawaiian or Other Pacific Islander (not Hispanic or Latino)

Asian (not Hispanic or Latino)

American Indian or Alaskan Native (not Hispanic or Latino)

Two or More Races (not Hispanic or Latino)

Decline to Specify

Gender

Male

Female

Decline to Specify

Veteran Status

Vietnam Era Veteran

Special Disabled Veteran

Other Eligible Veteran

Decline to Specify

Disability Status

Please check if you are an individual with disabilities

Signature (Last 4 of SSN)

Or:

I do not Wish to Self Identify

Explain:

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