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Voluntary Race/Ethnicity Form

Please fill out this form and return it to Human Resources. Thank you!

Handle: Document-103827
Owner: Russell, Jeffery (User-6456, 08813:EVERETT)DS
Thursday, December 13, 2018 10:25:34 AM PST
Tuesday, August 13, 2024 04:09:16 PM PDT
Modified By: Russell, Jeffery (User-6456, 08813:EVERETT)DS
Locked By:
  • Ethnicity and Race Reporting
To meet federal and state requirements, please fill out the form below.
  • Our
default selections will be Not Hispanic/Latino and White.
  • (Choose only one)
? No, not Hispanic/Latino ? Yes, Hispanic/Latino (A person of Cuban, Mexican, Puerto Rican, South or CentralAmerican, or other Spanish culture or origin, regardless of race.
  • Part B.
  • What is your race?
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
Ethnicity and Race Reporting.pdf
No
4
88751
No
Appears In: New Employee HR Forms
Preferred Version: Voluntary Race/Ethnicity Form