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 * Male Female Rather not say Race * American Indian or Alaskan Native Asian Black or African American Native Hawaiian or Pacific Islander White Rather not say Ethnic Group * Hispanic or Latino Non-Hispanic or Latino Rather not say Disability * Yes I have a disability (or previously had a disability) No, I do not have a disability Rather not say If you are human, leave this field blank. Submit
