Applicant Data Record

Baker University is an equal opportunity employer and supports affirmative action compliance. Applicants are considered for all positions, and employees are treated during employment without regard to race, color, religion, sex, national origin, age, disability, veteran status or sexual orientation. Solely to help Baker University comply with government record-keeping, reporting and other legal requirements, please complete the applicant data record below.

We appreciate your cooperation. This information and data will be kept in a confidential file separate from the application for employment.

First name*:

Last name*

Phone number*:

Address*:

City*:

State*:

ZIP code*:

Affirmative Action Survey

This data is for analysis and affirmative action only. Submission of information is voluntary. Colleges and universities are asked by many, including the federal government, accrediting associations, college guides, newspapers, and our own college/university communities, to describe the racial/ethnic backgrounds of our students and employees. To respond to these requests, we ask you to answer the following questions:

Check one:

Ethnicity: Do you consider yourself to be Hispanic/Latino/Latina?

In addition, select one or more of the following racial categories to describe yourself:

American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Pacific Islander
White

Check if any of the following are applicable:

Race and ethnicity unknown
Non-Resident Alien (of any race or ethnicity)
Vietnam Era Veteran
Disabled Individual
Disabled Veteran

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Affirmative Action Survey