Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Applicant Data Form - agree

Steps

  1. 1. Step One
  2. 2. Voluntary Self-Identification of Disability
  3. 3. VEVRAA Pre-offer Invitation to Applicants
  4. 4. You are Done!
  • Step One

    1. Please include the date that you applied for this opening.

    2. Please tell us the position that you applied for.

    3. Please provide us with your name.

    4. Please provide us with the last for digits of your Social Security number.

    5. Federal Government Data Request

      Please answer the following questions to the best of your ability. Thank you for your willingness to particiapte.

    6. Ethnicity: Hispanic or Latino

      A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.

    7. White (not Hispanic or Latino)

      A person having origins in any of the original peoples of Europe, North Africa, or the Middle East.

    8. Black or African American (not Hispanic or Latino)

      A person having origins in any of the Black racial groups of Africa.

    9. Native Hawaiian or Other Pacific Islander (not Hispanic or Latino)

      A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

    10. Asian (not Hispanic or Latino)

      A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent including Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Phillippine Islands, Thailand, and Vietnam.

    11. American Indian or Alaskan Native (not Hispanic or Latino)

      A person having origins in any of the original peoples of North and South American (including Central America), and who maintains tribal affiliation or community recognition.

    12. Two or More Races (not Hispanic or Latino)

      All persons who identify with more than one of the above five races.

    13. Sex/Gender

      Check if you identify with: