HR Survey

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CONFIDENTIAL

WESTERN NEW MEXICO UNIVERSITY

VOLUNTARY AFFIRMATIVE ACTION INFORMATION SURVEY

This information will be used by the officer of affirmative action programs to compile statistics only and will be kept confidential.

To email the form press the "Email" button" and the form will be emailed to the Office of Human Resources and will then be sent to the Officer of Affirmative Action Programs.

This information will not affect your employment or be used in any selection process.

 

Date: 
Name: 
Position Applied For: 
Email Address:
Ethnicity: 

If other specify:

Sex:  Date of Birth: 
Handicapped:  Veteran: 
Veteran status - 30? or more service - connected disability:

What prompted your application to WNMU?

If other please explain:

CONFIDENTIAL

 


WNMU Human Resources
PO Box 680  Silver City, NM 88062
Phone: 575-538-6328     Fax: 575-538-6294