Invitation to Self Identify
Name: Position Applied for:
Information for Statistical Use Only
Eastern Arizona College is an Equal Opportunity/Affirmative Action Employer and complies with all applicable federal and
state regulations. We are required to solicit the information indicated below. This information is kept for statistical reporting
and Federal EEO/AA requirements. Once received, this information will be kept confidential and separate from your
application materials. You will receive the same consideration for employment whether or not you complete this form. Your
responses are voluntary and your cooperation is appreciated. Please return this form with your application.
American Indian/Alaskan Native: A person having origins in any of the original peoples of North and South America
(including Central America), and who maintains tribal affiliation or community attachment.
Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian
subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands,
Thailand, and Vietnam.
Black/African American: A person having origins in any of the black racial groups of Africa.
Hispanic/Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or
origin, regardless of race.
Native Hawaiian/Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam,
Samoa, or other Pacific Islands.
White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Two or More Races
Special Disabled Veteran: A veteran who is entitled to compensation (or who but for the receipt of military retired
pay would be entitled to compensation) under laws administered by the Department of Veterans Affairs for a
disability: rated at 30 percent or more; or, rated at 10 or 20 percent in the case of a veteran who has been determined
under 38 U.S.C. 3106 to have a serious employment handicap; or, a person who was discharged or released from active
duty because of a service-connected disability.
Veteran of the Vietnam Era: A person who served on active duty for a period of more than 180 days, and was
discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred: in
the Republic of Vietnam between February 28, 1961, and May 7, 1975; or, between August 5, 1964, and May 7, 1975, in
all other cases; or, was discharged or released from active duty for a service-connected disability if any part of such
active duty was performed: in the Republic of Vietnam between February 28, 1961, and May 7, 1975, or between
August 5, 1964, and May 7, 1975, in all other cases.