Equal Employment Opportunity (EEO) Survey

This survey is voluntary and confidential. Completing it helps ensure that our hiring practices promote an inclusive and diverse workplace. This information will not be shared with hiring managers or used in the hiring decision.

Personal Information

• Position Applied For: ____________________________________

• Date of Application: ___________________________________

Survey Questions

1. Gender

   • ___Male

   • ___Female

   • ___Non-binary

   • ___Prefer not to disclose

2. Ethnicity (Please select all that apply)

   • ___Hispanic or Latino

   • ___White (Non-Hispanic)

   • ___Black or African American

   • ___Asian

   • ___Native Hawaiian or Other Pacific Islander

   • ___American Indian or Alaska Native

   • ___Two or More Races

   • ___Prefer not to disclose

3. Veteran Status

   • ___I am a veteran

   • ___I am not a veteran

   • ___Prefer not to disclose

4. Disability Status

   • ___I have a disability

   • ___I do not have a disability

   • ___Prefer not to disclose

Acknowledgment
Your participation in this survey is optional, and the information you provide will be kept confidential. Thank you for helping us create a more inclusive workplace.