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Oregon State University
Voluntary Self-Identification of Gender, Ethnicity, Race, Veteran Status, OSU Veteran's Preference, and Disability
Why are you being asked to complete this form?
Oregon State University is committed to an affirmative action program that promotes the effective recruitment and support of a diverse workforce. We recognize that the information requested below is sensitive and personal; this information will be used for analysis of the effectiveness of our recruiting efforts, and will be kept confidential to the extent permitted by law. A decision not to disclose this information will not result in any adverse treatment of your employment application.
1.
GENDER:
Female
Male
2.
Do you identify as trans* or gender non-conforming?
Yes
No
3.
Do you identify as a member of the LGBTQ+ community?
Yes
No
4.
ETHNICITY
: Are you Hispanic or Latino?
Yes
No
5.
RACE
: What is your race? (Choose one or more races)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White (original peoples of Europe, the Middle East, or North Africa)
6.
Please check one of the boxes below:
Yes, I have a disability, or have had one in the past
No, I do not have a disability and have not had one in the past
I do not want to answer