EEO Data

Clay County is an equal opportunity employer. We are committed to the policy of equal employment opportunity in recruitment, hiring, career advancement and all other personnel practices. Although providing this information is voluntary, it is important that all applicants answer these questions in order to help us comply with Federal/State equal employment opportunity record keeping, reporting and other legal requirements. This sheet will be separated from your application by individuals other than those who make employment decisions, and the requested information will be kept in a confidential file separate from the attached application for employment.

Phone number you can be reached at: *

Area Code Phone Number

Name *

First Name Middle Name Last Name

Today's Date

Month Day Year

Position you are applying for:

Race / Ethnic Group

White Black / African American Hispanic / Latino American Indian / Alaskan Native Asian / Pacific Islander Two or more races Prefer not to answer

Gender

Male Female Prefer not to answer

Disabled (defined as):

Having a physical or mental impairment which substantially limits one or more life activities;
Having a record of such impairment; or
Being regarded as having such an impairment.

Disabled

Yes No Prefer not to answer

Veteran Status

Not a Veteran Protected Veteran ** Disabled Veteran Protected and disabled Veteran Prefer not to answer

** A veteran who served on active duty during a war or in a campaign or expedition for which a campaign badge has been authorized.

Please call Human Resources at 218.299.5071 if you do not get redirected to our application form.

You may choose to self-disclose this information at any time in the future.

EQUAL EMPLOYMENT OPPORTUNITY DATA