EEO Data Collection Form

Please make sure to click [Submit] at the bottom of the form, before clicking the [Next Form] button.

EEO Data Collection Form

EEO Data Collection Form

To be completed by Employee (Optional)
NOTE: THIS DATA IS COLLECTED ONLY FOR PURPOSES OF COMPLYING WITH EEO-1 GOVERNMENT REPORTING AND IS NOT USED AS PART OF ANY EMPLOYMENT-RELATED
DECISION.

Name
Name
First
Last
Personal Data Race/Ethnicity
Sex Gender