Last Updated 11/14/2013
Voluntary Self-Identification Form
We are requesting that you complete this self-identification section for the purpose of statistical analysis
only. This information will neither enhance nor detract from your opportunity for employment with the
University. This form and its data will be kept separate from your application and will not be accessible by
anyone involved in making recommendations or decisions regarding hiring for this position.
Tenure Track Professor Adjunct/Lecturer
Please indicate your ethnicity by selecting the most appropriate code.
a) Are you Hispanic or Latino?
b) Regardless of your answer to Question 1, you may select one or more of the following categories that
apply to you:
American Indian or Alaska Native
Black or African American
Native Hawaiian or Other Pacific Islander
How did you learn about this vacancy?
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Person Off Campus
PLEASE SUBMIT TO email@example.com