"Applicant Affirmative Action Information Form - Rnl Facilities Corporation"

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RNL Facilities Corporation
APPLICANT AFFIRMATIVE ACTION INFORMATION
It is the policy of this organization to provide equal employment opportunity to all qualified applicants for
employment without regard to race, color, sexual orientation, gender identity, religion, national origin, sex, age,
veteran status or disability. As an affirmative action employer under E.O. 11246, we invite all applicants to
identify themselves as indicated below.
COMPLETION OF THIS FORM IS VOLUNTARY AND IN NO WAY AFFECTS THE DECISION
REGARDING YOUR APPLICATION FOR EMPLOYMENT. THIS FORM IS CONFIDENTIAL AND
WILL BE MAINTAINED SEPARATELY FROM YOUR APPLICATION FORM.
PLEASE PRINT
Name __________________________________________________ Date_____________
Last
First
Middle
Position applied for (list only one) _________________________________________________________________
Where did you hear about this job? ________________________________________________________________
Race/Ethnicity (You may mark one or more of the following):
White—A person having origins in any of the original peoples of Europe, the Middle East, or North
Africa.
American Indian or Alaska Native—A person having origins in any of the original peoples of North
and South America (including Central America), and who maintains tribal affiliation or community
attachment.
Hispanic or Latino—A person of Cuban, Mexican, Puerto Rican, South or Central American, or other
Spanish culture or origin, regardless of race.
Black or African American—A person having origins in any of the black racial groups of Africa.
Asian—A person having origins in any of the original peoples of the Far East, Southeast Asia, or the
Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan,
the Philippine Islands, Thailand, and Vietnam.
Native Hawaiian or Other Pacific Islander—A person having origins in any of the original peoples of
Hawaii, Guam, Samoa, or other Pacific Islands.
Sex:
Male
Female
I elect not to identify
Signature _________________________________________________________________________
RNL Facilities Corporation
APPLICANT AFFIRMATIVE ACTION INFORMATION
It is the policy of this organization to provide equal employment opportunity to all qualified applicants for
employment without regard to race, color, sexual orientation, gender identity, religion, national origin, sex, age,
veteran status or disability. As an affirmative action employer under E.O. 11246, we invite all applicants to
identify themselves as indicated below.
COMPLETION OF THIS FORM IS VOLUNTARY AND IN NO WAY AFFECTS THE DECISION
REGARDING YOUR APPLICATION FOR EMPLOYMENT. THIS FORM IS CONFIDENTIAL AND
WILL BE MAINTAINED SEPARATELY FROM YOUR APPLICATION FORM.
PLEASE PRINT
Name __________________________________________________ Date_____________
Last
First
Middle
Position applied for (list only one) _________________________________________________________________
Where did you hear about this job? ________________________________________________________________
Race/Ethnicity (You may mark one or more of the following):
White—A person having origins in any of the original peoples of Europe, the Middle East, or North
Africa.
American Indian or Alaska Native—A person having origins in any of the original peoples of North
and South America (including Central America), and who maintains tribal affiliation or community
attachment.
Hispanic or Latino—A person of Cuban, Mexican, Puerto Rican, South or Central American, or other
Spanish culture or origin, regardless of race.
Black or African American—A person having origins in any of the black racial groups of Africa.
Asian—A person having origins in any of the original peoples of the Far East, Southeast Asia, or the
Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan,
the Philippine Islands, Thailand, and Vietnam.
Native Hawaiian or Other Pacific Islander—A person having origins in any of the original peoples of
Hawaii, Guam, Samoa, or other Pacific Islands.
Sex:
Male
Female
I elect not to identify
Signature _________________________________________________________________________