CWU is required by law to maintain accurate applicant data. We ask applicants to volunteer this information for the success of our Affirmative Action Program. There is no penalty for failing to complete this form.

Applicant Survey Form

* Required fields
Name:
* Position Applied For:
* Department:

Racial/Ethnic Origin(s):
Definitions
American Indian/Alaskan Native
Asian
Black/African American
Hispanic
Pacific Islander/Native Hawaiian
White
If you checked more than one above, please note your preference for Affirmative Action purposes:

Military Status: Are you an United States veteran?
Yes No

If yes, complete next question.

U.S. Veteran Status:
Definitions
Vietnam-era Veteran
Disabled Vietnam-era Veteran
Special Disabled Veteran
Other Protected Veteran
Recently Separated Veteran

Sex:
Male
Female

Age:
Under 40
Age 40 and above

Disabling Condition:
Definitions
Yes
No

How did you find out about this job opening?
Newspaper or journal advertisement (specify):
CWU jobline
Job posting
CWU website
Personal contact
Other website
Other (specify):

Definitions

Contact Information

Office for Equal Opportunity
400 E. University Way
Ellensburg, WA 98926
Phone: (509) 963-2205
Fax: (509) 963-2203
Email: oeo@cwu.edu

Central Washington University

400 E. University Way, Ellensburg WA 98926

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Office for Equal Opportunity: Applicant Survey Form

Applicant Survey Form

* Required fields

Sex:

Age:

How did you find out about this job opening?