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CONFIDENTIAL
WESTERN NEW MEXICO UNIVERSITY
VOLUNTARY AFFIRMATIVE ACTION INFORMATION SURVEY

The information gathered in this survey will be used by the Office of Affirmative Action and Equal Employment Opportunity to compile statistics only and will be kept confidential. This information will not affect your employment efforts or be used in any selection process.

Please complete the survey below and press the “Submit” button. The survey information will be emailed directly to the Office of Affirmative Action and Equal Employment Opportunity.

 

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: 575-538-6338

 

 
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