Professional Vehicle Operator Application For Employment Page 5
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5EMPLOYMENT QUESTIONNAIRE
APPLICANT: This completed section is confidential and will be detached and filed separately from your
application. This information is voluntary and is gathered in accordance with State and Federal laws for
the purpose of evaluating the effectiveness of our equal opportunity/affirmative action program and
recruitment efforts.
Position Applied For:
Please check one:
Date:
Male
Female
PLEASE CHECK ONLY ONE BOX FOR THE RACIAL/ETHNIC CATEGORY WITH WHICH YOU MOST
CLOSELY IDENTIFY.
HISPANIC OR LATINO
A person of Cuban, Mexican, Puerto Rican, South or Central America,
or Spanish culture or origin regardless of race. This does not include
persons who acquire a Spanish surname.
WHITE/CAUCASIAN
A person having origins in any of the original peoples of Europe, the
Middle East, or North Africa.
BLACK OR
A person having origins in any of the black racial groups of Africa.
AFRICAN AMERICAN
NATIVE HAWAIIAN OR
A person having origins in any of the original peoples of Hawaii, Guam,
OTHER PACIFIC ISLANDER
Samoa, or other Pacific Islands.
ASIAN
A person having origins in any of the original peoples of the Far East,
Southeast Asia, or the Indian Subcontinent (this includes Cambodia,
China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands,
Thailand, Laos, and Vietnam).
AMERICAN INDIAN OR
A person having origins in any of the original peoples of North America
ALASKAN NATIVE
and South America (including Central America) and who maintain tribal
affiliation or community attachment.
TWO OR MORE RACES
All persons who identify with more than one of the above six races.
I FIRST LEARNED OF THIS JOB OPENING THROUGH (check one only):
Ad in Sacramento Bee
Paratransit’s Job Line
Other (Please Specify)
Paratransit Employee
Job Fair
Building Signs/Window Ad
Pennysaver
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