Requisition Number______

JOB SEEKER EEO SURVEY

The University of Scranton is an Equal Opportunity/Affirmative Action employer. As a potential Federal government contractor, we are required to keep records and perform statistical analysis of our job seekers by race, ethnicity and gender. The information is treated confidentially and is never shared with those engaged in any employment decisions.

Providing the requested information is strictly voluntary, but for any statistical analysis to be accurate and meaningful, we must collect information on as many job seekers as possible. Your cooperation in helping us meet our reporting requirements not only provides valuable data for analysis, but also enhances our ability to reach as many potential job seekers as possible through our outreach efforts.

You are asked to submit the information requested in Section A. We hope that you will also provide the information requested in Section B. If you do not wish to provide the requested information solicited in Section B, please check the box indicating “I decline to provide.”

NAME______ZIP CODE______

Please be specific in your responses:

Section A

1. Position applying for; Job Title______

2. How did you learn of this vacancy? ______

Examples: University of Scranton website; Chronicle of Higher Education; DiverseJobs.net

 Newspaper/Journal Publication______(Title);  Careerlink or other Government Job Service; Conference/Job Fair______(Location);  Discipline specific media______(Title); Other______

Section B

The following designations are those currently required to be reported to the Federal government. Please mark only one sex and one race or ethnic group.

Sex:

( ) Male ( ) Female ( ) I decline to provide information on sex

Ethnicity:

( ) Hispanic or Latino (includes Mexican, Puerto Rican, Cuban, Central or South American or Spanish culture or origin)

( ) Non Hispanic or Latino

Race:

( ) White (includes persons of Middle Eastern, European or North African descent)

( ) Black or African American (includes Jamaican and West Indian)

( ) Asian (includes persons having origins in the Far East, Southeast Asia, or the Indian Subcontinent)

( ) Native Hawaiian or Other Pacific Islander

( ) American Indian, Alaskan Native (persons having origins in the original peoples of North America and South America; including Central America; who maintain a cultural identification through tribal affiliation or community recognition)

( ) Two or more races (for example, White and Black, or Black, Asian and American Indian)

( ) I decline to provide information on race/ethnicity.