Application page 3

Voluntary Affirmative Action Questionnaire:

This company may be required by state and federal laws to furnish statistical data and to maintain records of certain population characteristics of those applying for jobs with them. The information you supply will be aggregated and used for statistical purposes only. If you are offered employment with this company, it will not be used as employment criteria. This company is an equal employment opportunity employer supporting diversity in the workplace. Thank you for your cooperation in completing this form.

    Please fill out the form on the previous page.