Voluntary EEO | Community Blood Bank

Name*

First Last

Email*

Enter Email Confirm Email

Today's Date*

Please state the position you are appliying for*

Date Of Birth*

Sex*

Regulations issued by the US Department of Labor with respect to disabled individuals, disabled veterans, and Vietnam Era veterans require that federal contractors provide an opportunity for self-identification to candidates seeking employment. Such self-identification is submitted on a voluntary basis, on a confidential basis, for use only in accordance with regulations, and without subjecting the individual to adverse treatment.

Race / Ethnic data (check all that apply)

White/Caucasian
Black/African American
Hispanic or Latino
American Indian / Alaskan Native
Asian
Native Hawaiian or Other Pacific Islander
Other

Disabled / Veteran Classification(s)

Disabled Person
Vietnam Era Veteran
Special Disabled Veteran (rated 30% or more)
Not Applicable

Referral Source

Voluntary EEO Identification