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Online Employment Application

Equal Employment Opportunity
Arizona State University

To All Applicants
Arizona State University is an Equal Opportunity/Affirmative Action employer and complies with applicable fedral and state regulations. We are requesting that you provide us with the information indicated below. This information is kept for statistical reporting and Fedral Equal Employment requirements. It is treated in a highly confidential manner. Your responses are strictly voluntary. However, we urge your cooperation in this as it will be most helpful toArizona State University.
 

Your Name : 

Social Security Number : 

Position Applied For : 

Department : 

Job Number : 

ETHNIC/RACIAL CATEGORY

 White, not Hispanic (C)

 Black, not Hispanic (B)

 Hispanic (S)

 American Indian or Alaskan Native (A)

 Asian or Paciffic Islander (R)

SEX

 Male

 Female

AGE GROUP

 40 and over (O)

CHECK ONLY ONE

 Vietnam era vetran (V)

 Special Disabled vetran (D)

 Special disabled Vietnam era vetran (S)

DO YOU HAVE DISABILITY

 Yes

 No

HOW DID YOU LEARN OF THIS POSITION

 ASU Newsletter (1)

 Mesa Tribune (2)

 Avo Fenix (3)

 Referal Agency (4)

 Dial-a-job (5)

 Arizona Business Gazette (6)

 Cambio (7)

 Professional Publication (8)

 Insight (9)

 Tucson Star Citizen (10)

 Job Board (11)

 Arizona Informant (12)

 Community Agency(specify) (13) 

 Afirmative Action Registar (14)

 ASU Staff Recrutier (15)

 Department of Economic Security (16)

 Arizona Republic (17)

 Chronicle of Higher Education (18)

 Other (specify) (19) 

 Personal Referal (20)

 ARE YOU A U.S. CITIZEN

 Yes

 No