Employment Data Record
Employees are treated during employment without regard to race, color, religion, sex, national origin, age, martial or veteran status, medical condition or handicap, or any other legally protected status.
As an employer with an Affirmative A
Action Program, we comply with government regulation, including Affirmative Action responsibilities where they apply.
The purpose for this Data Record is to comply with government record keeping, reporting and other legal requirements. Periodic reports are made to the government on the following information. The completion of this data record is optional. If you choose to volunteer the requested information, please note that all Data Records are kept in a Confidential File and are not part of your Application for Employment or personnel file.
Please note: YOUR COOPERATION IS VOLUNTARY. INCLUDSION OR EXCLUSION OF ANY DATA WILL NTO AFFECT ANY EMPLOYMNET DECISION.
VOLUNTARY SURVEY
Government agencies at times require periodic reports on the sex, ethnicity, handicap, veteran and other protected status of employees. This data is for statistical analysis with respect to the success o the affirmative action program.
SUBMISSION OF THIS INFORMATION IS VOLUNTARY.