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APPLICANT
FLOW INFORMATION
Driscoll Children's Hospital is an EQUAL OPPORTUNITY, AFFIRMATIVE ACTION EMPLOYER. Employment Opportunities are open to qualified applicants without regard to a person’s race, color, sex, age, religion, national origin or ancestry, disability, or veteran status. Reasonable accommodations are made for qualified disabled individuals.
Pursuant to Federal regulations, Driscoll Children's Hospital is required to maintain certain records for recordkeeping and reporting purposes, and also to monitor our progress toward our affirmative action commitments. Your response is voluntary and will be kept confidential. Your refusal to answer will not affect or harm your employment opportunities. Any information given will be used only in accordance with applicable equal employment and affirmative action orders, acts and regulations.
DATE: ______ - ______ - 20_____
NAME: ________________________________________________________________
POSITION APPLIED FOR: ________________________________________________
GENDER: Male______ |
Female______ |
RACE/ETHNIC GROUP:
_____ White
_____ African-American
_____ Hispanic
_____ Asian or Pacific Islander
_____ American Indian or Alaskan Native
_____ Other
WHERE DID YOU LEARN ABOUT THIS JOB: ___________________________________
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