OED (8/10/01)
CALIFORNIA STATE UNIVERSITY, LOS ANGELES
OFFICE FOR EQUITY AND DIVERSITY
DOCUMENTATION ON DISABLED/COVERED VETERAN APPLICANTS
Instructions: Complete and forward to the Office for Equity and Diversity
DEPARTMENT
DATE
NAME
POSITION APPLIED FOR
JOB NUMBER
(if applicable)
STATUS Check all that apply
Disabled Disabled Veteran Vietnam Era Veteran Other Veteran
REASON FOR NON-SELECTION
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