SCNC Voluntary EEO Information
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Voluntary Equal Employment Opportunity Information
We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a non-job-related medical condition or dlsabiltiy, or any other legally protected status.
1.
Today's Date:
*
2.
Position Applied For:
*
3.
Referral Source:
*
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Employee
Walk-In
School
Government Employment Agency
Private Employment Agency
Other Please Specify
4.
Name Referral Source: (If Applicable)
5.
Applicant's Information:
*
Last Name
First Name
Middle Name
Primary Phone Number
Street Address
City
State
Zip Code
As required, we comply with government regulations including Affirmative Action obligations where they apply.
In an effort to comply with requirements regarding government recordkeeping, reporting and other legal obligations. We ask that you complete this applicant data survey. Your cooperation is appreciated.
Please be advised that your survey is NOT a part of your official application for employment. It is considered confidential information that will not be used in any hiring decisions.
6.
What is your gender?
Male
Female
7.
Check one of the following race/ethnic groups.
Hispanic
Black
White
American Indian/Alaskan Native
Asian/Pacific Islander
8.
Check if any of the following are applicable.
Vietnam Era Veteran
Disabled Veteran
Disable Individual
To be Completed by Applicant ~ Not for Interview Purposes ~ To be Filed Separately from Application
