Goodwill
Industries of Wayne and Holmes Counties, Inc.
EQUAL EMPLOYMENT IDENTIFICATION FORM
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Position applied for
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Race/Ethnicity (Check One)
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Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central America, or other Spanish culture or origin regardless of race
White (Non-Hispanic or Latino) - A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Black or African American (Not Hispanic or Latino) - A person having origins in any of the black racial groups of Africa
Native Hawaiian or other Pacific Islander (Not Hispanic or Latino) - A person Having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Asian(Not Hispanic or Latino) – A person having origins in any of the originalpeoplesof the Far East, SoutheastAsia, or the Indian Subcontinent, including, for example,Cambodia, China, India,Japan, Korea, Malaysia, Pakistan, the Philippine Islands,Thailand,and Vietnam
American Indian or Alaska Native (Not Hispanic or Latino) - A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
Two or More Races (Not Hispanic or Latino) - All persons who identify with more than one of the above five races.
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