Equal Employment Opportunity Survey

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US Equal Employment Opportunity

Survey

Stutsman County encourages all applicants, as well as current employees who have not previously done so, to fill out the following Equal Employment Opportunity survey. This information is kept separate from your application and/or personnel file and is for statistical purposes only. The information you submit in this survey will not be taken into consideration when hiring. Submission of this information is completely voluntary and will be kept confidential.

Name

Job Title / Position Applying For

Position Status

Sex

Race / Ethnicity

If 'Other' is chosen for Race / Ethnicity, please specify

Thank you for your response. Your cooperation will allow Stutsman County to be compliant with Public Law 88-352, Title VII of the Civic Rights Act of 1964 as well as complying with rules and regulations set forth by the US Equal Opportunity Commission. For more information please visit the official web site for the EEOC located at https://www.eeoc.gov/

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