Equal Opportunity & Affirmative Action Survey

Equal employment and affirmative action regulations require us to gather statistical information on persons applying for employment. Please complete the survey below to assist us in complying with these regulations. In no way will your responses be used to determine your eligibility for the position for which you are applying. This information is voluntary and confidential and will be used for statistical purposes only.

are marked.

Personal Information:
(MM/DD/YYYY)

Are you Hispanic or Latino? (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.)

Please select one or more racial categories to describe yourself:

White (A person having origins in any of the original peoples of Europe, the Middle East, or North Africa (e.g., persons who identify as Portuguese, German, Lebanese, Arab, Egyptian).)

American Indian or Alaska Native (A person having origins in any of the original peoples of North, Central, and South America and who maintains trival affiliation or community attachment.)

Black or African American (A person having origins in any of the black racial groups of Africa.)

Native Hawaiian/Part Hawaiian or Other Pacific Islander:


or Chamorro)


Asian:








Quiz:

You appear to be submitting this form from off-campus. Please answer this simple quiz.

What is seventy plus five?

If you experience trouble with this validation system, please contact the EEO/AA Office directly by phone for assistance with your submission.