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Equal Opportunity Employment Form
Name:
US citizen/legal resident in the US
*
Other
*
Job Code:
*
Email:
Have you submitted another application for employment to the company for this or any other position within the past twelve months?
No
Yes
Position/Job Code
PLEASE READ CAREFULLY
Federal law and regulations require U.S. government contractors, such as ARD, Inc., to monitor their equal employment opportunity compliance on a continuing basis. We are therefore requesting that individuals applying for employment with the firm provide information on their gender and group status by checking the applicable boxes below. The information you furnish will be maintained only for the purpose of monitoring compliance with applicable laws and regulations concerning equal employment opportunity and will not be used for any other purpose. Please note that submission of this information is voluntary. However, we still need to receive an Equal Employment Opportunity Form from you, even if you choose not to provide gender and group status information. Until this form is received, we are, unfortunately, unable to consider your name for this assignment. Thank you.
I Accept
*
I Decline
*
Group Status
White (not of Hispanic or Latino origin)
Hispanic or Latino
Black or African American (not of Hispanic or Latino origin)
American Indian or Alaskan Native
Asian (not of Hispanic or Latino origin)
Native Hawaiian or Other Pacific Islander (not of Hispanic or Latino origin)
Two or more races (not of Hispanic or Latino origin)
Gender
Male
Female
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