Pursuant to federal regulations, we collect responses to the questions below for record keeping purposes. This information will NOT be kept with your application for employment. Federal law prohibits unlawful discrimination on the basis of race, color, sex, age, national origin, religion, or disability. Check the block for the racial or ethnic group with Check the block for the highest level of education Check the appropriate block: which you identify: you have completed (check only one): Female White (includes Arabian) Less than 8th grade Male Black (includes Jamaican, Bahamians and Completed 8th grade other Carribbeans of African but not Hispanic Attended high school or Arabian descent) High school graduate or equivalent Please indicate your date of birth: / / Hispanic (includes persons of Mexican, Attended college and/or associate degree Puerto Rican, Central or South American or College graduate Position applied for: other Spanish origin or culture) Attended graduate school Position number: Asian & Asian American (includes Pakistanis, degree Master’s Indians & Pacific Islanders) Graduate study beyond master’s FOR OFFICE USE ONLY American Indians (includes Alaskans) requirements Ph.D. or professional degree EEO Category: How did you find out about this employment opportunity? Newspaper* Brunswick County Website Radio/TV* Agency Bulletin Board VEC Other (please specify) *specify name of newspaper or other media
Pursuant to federal regulations, we collect responses to the questions below for record keeping purposes. This information will NOT be kept with your application for employment. Federal law prohibits unlawful discrimination on the basis of race, color, sex, age, national origin, religion, or disability. Check the block for the racial or ethnic group with which you identify: Check the block for the highest level of education you have completed (check only one): Check the appropriate block: Female White (includes Arabian) Less than 8th grade Male Black (includes Jamaican, Bahamians and Completed 8th grade other Carribbeans of African but not Hispanic Attended high school or Arabian descent) High school graduate or equivalent Please indicate your date of birth: / / Hispanic (includes persons of Mexican, Attended college and/or associate degree Puerto Rican, Central or South American or College graduate Position applied for: other Spanish origin or culture) Attended graduate school Position number: Asian & Asian American (includes Pakistanis, Master’s degree Indians & Pacific Islanders) Graduate study beyond master’s American Indians (includes Alaskans) requirements FOR OFFICE USE ONLY Ph.D. or professional degree EEO Category: How did you find out about this employment opportunity? Newspaper* Brunswick County Website Radio/TV* Agency Bulletin Board VEC Other (please specify) *specify name of newspaper or other media
form%20County%20Application.docx