We apologize for any inconvenience that might have been caused and would appreciate your assistance in getting this matter resolved. In order to assist you as quickly as possible, would you please answer the questions below.
Name of the position you applied for:
Department position is in:
What was the application deadline date of the position?
Did you receive a Voluntary Information Request (VIR) form?
If you received the VIR form, was there a position number at the top?
If there is a position number on the VIR form, what is it?
Gender/Sex Male Female
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.
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::
------Are you Hispanic or Latino------- Yes No
With which race/races do you primarily identify?
------Select the race/races with which you identify ----- White (not of Hispanic origin) Black or African American (not of Hispanic origin) Asian American Indian or Alaskan Native Native Hawaiian or Other Pacific Islander