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Equal Opportunity Employment Form


  2. Section 2: Gender
  3. Please Select One:
  4. Section 3: Ethnicity

    Please choose all that apply

  5. How did you learn about this opening?
  6. Overtime Compensation Agreement

    For employees subject to the overtime provisions of the Fair Labor Standard Act (FLSA), we generally allow the employee to choose between time off or pay for overtime work. However, either is subject to supervisory approval and may be affected by budgetary constraints. 

  7. Selective Service Registration

    If male and age 18 to 26, have you registered for Selective Service? If no, you will have 30 days to comply if selected for a position as required by Federal Law.

  8. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  9. I certify that I have read and understand the information contained on this form, complied with the instructions provided, and have done so truthfully to the best of my knowledge.

  10. Leave This Blank:

  11. This field is not part of the form submission.