Le Moyne College Offices & Resources

Voluntary Demographic Data

The information requested below is used to assust us in our compliance with Federal and State equal employment opportunity record keeping and reporting. Your response is voluntary and will not be used in any way to determine your eligibility for employment.

Position Applying For:
Gender:	Not Disclosed Female Male
US Citizen:	Not Disclosed Yes No
If not a US Citizen, what is your resident alien or non-resident alien country:
Ethnic Group:	Not Disclosed White (not of Hispanic origin) Black or African American (not of Hispanic origin) Asian or Pacific Islander American Indian or Alaskan Native Hispanic Other
Do you qualify as a Vietnam Veteran:	Not Disclosed Yes No
Are you considered a disabled veteran by the Veteran's Administration:	Not Disclosed Yes No
Do you wish to declare yourself as disabled:	Not Disclosed Yes No
If disabled, indicate category:

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