Affimative Action Affimative Action First Name * Last Name * Email * AFFIRMATIVE ACTION INFORMATION FORM The following information is being requested to comply with government regulations. The requested information is for affirmative action statistical purposes only and will not be kept with your application. Gender * MaleFemaleRather not say Race * American Indian or Alaskan NativeAsianBlack or African AmericanNative Hawaiian or Pacific IslanderWhiteRather not say Ethnic Group * Hispanic or LatinoNon-Hispanic or LatinoRather not say Disability * Yes I have a disability (or previously had a disability)No, I do not have a disabilityRather not say If you are human, leave this field blank. Submit
