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We are an Equal Opportunity Employer
List below all present and past employment starting with your most recent employer (last five years is sufficient). You must complete this section even if attaching a resume.
List below three persons not related to you who have knowledge of your work performance within the last three years.
Employees are treated during employment without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or disability or any other legally protected status. As an employer with an Equal Opportunity Program, we comply with government regulations, including Equal Opportunity responsibilities where they apply.
The purpose for this Data Record is to comply with government record keeping, reporting, and other legal Requirements. Periodic reports are made to the government on the following information. The completion of this Data Record is optional. If you choose to volunteer the requested information, please note that all Data Records are kept in a Confidential File and are not a part of your Application for Employment or personnel file. Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.