Various government agencies require periodic reports of Equal Employment Opportunity and Affirmative Action results and your voluntary completion of this form will assist the Company in our efforts to comply with these important requirements and to measure the success of our diversity efforts. The information that you provide will be used only for purposes of statistical analysis and compliance with government reporting requirements. The information that you provide on this form will not be considered in relation to any hiring decisions, it will not be provided to the decision-makers along with your employment application, and it will not become part of your personnel file or any other employment record. We appreciate your voluntary participation, but a refusal to provide this information will not subject you to any adverse treatment.
Please check the appropriate box:
Please answer the following question:
Are you Hispanic or Latino:
If you answered "no" to Question #2, please check the most appropriate box below: