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Equal Employment Opportunity (EEO-1)
Employee Self-Identification Form
The Equal Employment Opportunity Commission (EEOC) requires organizations with 100 or more employees to complete an EEO-1 report each year. Your employer invites you to self-identify gender and race/ ethnicity. Completion of this data is VOLUNTARY and will not affect your opportunity for employment, or terms or conditions of employment. This form will be used for EEO-1 reporting purposes only and will be kept separate from all other personnel records only accessed by Human Resources.
PLEASE ANSWER THE FOLLOWING QUESTIONS:
What is you gender?
What is your race/ethnicity? Please mark the box that describes the race/ethnicity category with which you primarily identify.