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Voluntary Self-Identification Form
As an applicant, are invited to voluntarily provide the following information about yourself. Your information will be kept confidential and separate from your employment application. In addition, the decision whether to provide the information will not subject you to any adverse treatment. You may choose to not provide a response to any of the questions.
This information is requested and used in accordance with Executive Order 11246; Section 503 of the Rehabilitation Act of 1973, as amended; and the Vietnam Era Veterans’ Readjustment Assistance Act, as amended, to help us monitor our hiring practices.
UND complies with the Drug Free Workplace Act. UND also complies with the Jeanne Clery Disclosure of Campus Security Policy & Campus Crime Statistics Act, see www.police.und.edu/stats/html.
After completing the form, press SUBMIT to send the form electronically. Alternatively, you may complete the form and send it by mail to Equal Employment Opportunity/Affirmative Action Office, University of North Dakota, 264 Centennial Drive, Stop 7097, Grand Forks, ND 58202-7097.
Please direct any questions to the Equal Employment Opportunity/Affirmative Action office at email@example.com or call us at (701) 777-4171. Thank you.
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