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Human Relations

Demographic Response

Thank you for your interest in a position at UALR. In our effort to meet federal and state guidelines in hiring practices, we must collect statistical information on our applicants. Completion of this form is voluntary.

Requisition / Job number:

Title of the job:

Department where job is located:

Applicant's name:

Date of birth:

Gender:

Male
Female
Decline to disclose gender

Ethnicity:

Hispanic or Latino

Race:

White
Black or African American
Native Hawaiian or Other Pacific Islander
Asian
American Indian or Alaskan Native
Two or more races

Recently separated veteran?

No
Yes,Date

Other protected veteran?

No
Yes,date

Indicate regional location of job announcement:

 

 

To assist us in evaluating advertising effectiveness, please
indicate how you learned of this vacancy:

 

 

 


Contact Karen Sanders (kmsanders@ualr.edu) for help with this form.