Equal Employment Opportunity Data Sheet

As a public institution and recipient of federal funds, the University of North Texas is subject to federal and state laws requiring equal employment opportunity. In order to monitor compliance with these laws and to assure job openings reach qualified applicants, we ask all applicants for all position to provide the following information, which will be maintained in a confidential manner to the extent authorized by law. All information, including veteran status and veteran preference, is provided voluntarily and only used in accordance with equal opportunity laws. Disclosure of your social security number is voluntary and will be used to track information.

Personal Name:
Sex: Male Female
Birth Date: xx-xx-xx
Position Applied For:
Department:

Race/Ethnicity 1) White/Caucasian (non-Hispanic)
2) Asian or Pacific Islander
3) African American/Black
4) Hispanic/Mexican American/Latino/Chicano
5) American Indian/Alaskan Native
6) Other (please specify)

Veteran Status Do you qualify as a veteran? Yes No

Referal Sources You may check more than one
Texas Workforce Commission
Jobline
Recruitment List
Employee Referral
Walk-in
Dallas Morning News
Other newspaper (please specify)
Professional Organization (please specify)
Chronicle of Higher Education
Hispanic Outlook
Black Issues in Higher Education
Women in Higher Education
Other periodical (please specify)
Journal (please specify)
Posting (please specify)
Friend
Agency (please specify)
Internet
Department Website
NationJob
Other Internet source (please specify)
Other source (please specify)

Submit

Submit electronically (see submit query button below):

OR

Print, complete, and mail this form to:
Human Resources Department
University of North Texas
P.O. Box 311010
Denton, TX 76203-1010

The University of North Texas is an equal opportunity employer and educator committed to equity and diversity. Upon request, reasonable accommodations are made for applicants with disabilities.