It is used to assess affirmative action efforts and to comply with State and Federal regulations for monitoring applicant pools. The department completes the top portion of the form, copies, and mails it to all applicants as resumes are received. Applicant response is voluntary and the information provided is used solely for affirmative action purposes. Postage-free return envelopes addressed to Human Resources are provided for the mailing to applicants. The form captures gender, race, Vietnam veteran status, special disabled veterans status, disability and referral source data.
Applicant name is optional.