Human Resource Services

Data Card

We invite you to complete the following information, which will be used to help us comply with federal and state Equal Employment Opportunity record keeping, and other legal requirements.

Please note completion of this information is voluntary. Refusal to complete this information will not subject you to adverse treatment. The information you provide is confidential and will be kept separate from your other applicant information. This information will only be used for data reporting requirements and will not be considered in making any employment decisions.

Qualified applicants are considered for and treated during employment without regard to race, color, religion, national origin, citizenship, age, sex, marital status, ancestry, physical or mental disability, medical condition, veteran status or sexual orientation.

If you complete and submit this form, the information will be used by the University of Florida's Equal Employment Opportunity Office to monitor university recruiting and hiring practices. Your help with respect to providing this information is greatly appreciated.

Title:

First Name:

M.I.

Last Name:

Mailing Address:

City:

State:

Zip:

E-mail:

 

Name of department applied to: 

Reference number:

Title of position applied for:

How did you find out about this position?
 

Citizenship:

U.S.      Other (please specify):

Ethnic origin:

Gender:

Male      Female

 

Are you a Veteran of U.S. Military Service?

Yes      No

If yes, please specify: