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.
| First Name | |
| Last Name | |
| Middle Initial |
|
Gender/Sex
Today's Date:
Please provide the following contact information:
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.
Ethnicity:
Hispanic or Latino - A person of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race.
(With which race/races do you primarily identify):
White - A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Black or African American - A person having origins in any of the black racial groups of Africa.
Asian - 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, Malaysia, Pakistan, the Philippine Islands, Thailand, Cambodia, and Vietnam.
American Indian or Alaskan Native - 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 - A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
Based on the above, please self-identify your race/ethnicity
Are you Hispanic or Latino::
With which race/races do you primarily identify?
Please indicate how you learned of this opening:
Daily/Sunday Oklahoman Tulsa World Stillwater NewsPress Black Chronicle Hispanic Outlook Insight into Diversity Chronicle of Higher Education Black Issues in Higher Education Other Journal Higheredjobs.com Oklahoma Joblink/JobCentral APLU/PhD.org 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.