Various agencies of the United States Government require employers to maintain information
on applicants pertaining to factors such as race, sex, and type of position for which an individual applies.
The information requested on this sheet is for compliance with certain record keeping requirements.
This information is recorded and maintained in a confidential file separate from other records and will
not be used in consideration of your employment.
Submission of this information is voluntary. The Company believes all persons are entitled to equal
employment opportunities and does not discriminate against its employees or applicants for employment
because of a person's sex, pregnancy, age, race, color, religion, creed, sexual orientation, gender
identity, gender expression, marital status, national origin, ancestry, citizenship, military status,
veteran status, genetic information, handicap or disability, or membership in any other protected group.
Please Note: Completion of this information is voluntary. Refusal to complete the information will not
subject any applicant to adverse treatment.