VOLUNTARY INFORMATION REQUEST:  NOT TO BE USED IN HIRING DECISIONS

 

Equal Employment Opportunity Information Request

 

As a government contractor, Oklahoma State University is subject to Executive Order 11246, as amended which requires government contractors to take affirmative action in the employment process.  We request your VOLUNTARY completion of the following questionnaire to be used ONLY for the purpose of monitoring the success of our Affirmative Action Plan.  This information will not be used to discriminate against or to show preference for any applicant in the hiring decision.

NOTE: If you were provided an email version of the Voluntary Information Request form for the position and have returned it to Oklahoma State University, please do not resubmit the information again.

Choose which of the positions you are applying for (Click here if the you do not see the position):


Please identify and describe yourself:

First Name
Last Name
Middle Initial

 

Gender/Sex   

                  

Today's Date: 

 

Please provide the following contact information:

E-mail

Race/ethnic designations as used in collecting/reporting of Affirmative Action data are mandated by the Equal Employment Opportunity Commission and do not denote scientific definitions of anthropological origins.   This are the race/ethnic designations presently being used by the Equal Employment Opportunity Commission.

 

White (not of Hispanic or Latino origin.  A person having origins in any of the original peoples of Europe, North Africa, or the Middle East)  

Black or African American (not of Hispanic or Latino origin.  A person having origins in any of the black racial groups of Africa).  

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

Asian (not of Hispanic or Latino origin.  A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent.  This includes, for example, China, Japan, Korea, India, Pakistan, Bangladesh, Malaysia, Sri Lanka [formerly Ceylon], Nepal, Sikkim, Bhutan, Afghanistan, the Philippine Islands, Thailand, Cambodia, and Vietnam).  

American Indian or Alaskan Native (not of Hispanic or Latino origin.  A person having origins in any of the original peoples of North America or South America (including Central America) and who maintains cultural identification through tribal affiliation or community attachment/recognition).  

Native Hawaiian or Other Pacific Islander (not of Hispanic or Latino origin.  A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands). 

Two or more races not of Hispanic or Latino origin.  (A person who identifies with more than one of the above except Hispanic or Latino).

Based on the above, please choose one of the following options:

Please indicate how you learned of this opening:

Daily/Sunday Oklahoman    Tulsa World                       Stillwater NewsPress              Black Chronicle                 

Hispanic Outlook          Affirmative Action Register       Chronicle of Higher Education     Black Issues in Higher Education

Other Journal             Higheredjobs.com                  America's Job Exchange            American/Oklahoma Job Bank      

Listserve                 TopJobs.com		         Other Web Site                    National Minority Faculty Identification Program      

State Employment Office   Individual/Coworker               Conference                        Other                           
 

Appointees to positions at Oklahoma State University are selected based on merit and qualifications for the positions for which individuals are recruited.  Adequate reference checks will be conducted to satisfy OSU regarding the professional qualifications and credentials of the applicant.  To this end, OSU reserves the right to access any records available to it under authority of law.  OSU will protect privacy rights of individuals.  Misrepresentation of fact in the application process will be sufficient grounds for termination of employment or cancellation of job offer without advance notice at any time.

You will automatically receive a confirmation that your information has been submitted.

           


(Please click only once.)

 

Have a question regarding this form, send it to SLKUEK@okstate.edu

Author information goes here.
Copyright © 1999 [OrganizationName]. All rights reserved.
Revised: 05/13/08