Eeoc Form For Job Applications printable pdf download

Eeoc Form For Job Applications

375 W. Briarcliff Rd.

Bolingbrook, IL 60440-0951

It is necessary for the Village of Bolingbrook to collect the following information to

evaluate its hiring practices and to prepare Federal and State reports required by law. The

information is confidential; it will not be seen by the interviewer and will not be used to

make a decision about your employment. Your cooperation by providing the information

on a voluntary basis will be appreciated.

Name: _________________________________________________________________

SS #: __________________________________ Date: ________________________

Administrative: ________

Finance: ________

Police: ________

Public Works: ________

Community Development: ________

Fire: ________

Position Applying for: ________________________________________________

________ Female

________ Black

________ Male

________ Hispanic (Spanish)

________ White (Caucasian)

________ Asian/Pacific Islander

________ American Indian

________ Other: ______________

Citizenship: ________ U.S. Citizen

________ Permanent Resident

________ Temporary Visa

Eeoc Form For Job Applications