Duramax Marine Careers: Complete Application Step 4

Careers Online Application — Step 4 Equal Employment Opportunity

Personal Data

Last Name

First Name

M.I.

Sex

Male

Female

Today’s Date

Position Sought

Is Your Ethnic Origin Hispanic or Latino?

Yes

Ethnic Group

(Check one)

Ethnic Group

Two or more Races (All persons who identify with more than one of the races listed below)

White (Not Hispanic or Latino / All persons having origins in any of the original peoples of Europe, North Africa or the Middle East)

Black or African American (Not Hispanic or Latino / All persons having origins in any of the Black racial groups of Africa)

Asian (Not Hispanic or Latino / All persons having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam)

Native Hawaiian or Pacific Islander (Not Hispanic or Latino / All persons having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands)

American Indian or Alaskan Native (Not Hispanic or Latino / All persons having origins in any of the original peoples of North and South America [including Central America and who maintain tribal affiliation or community attachment.]

Disabled/Veteran Status

(Check all that apply)

Disabled/Veteran Status

Vietnam-Era Veteran (A person who served on active duty for at least 180 days, part of which was between August 5, 1964, and May 7, 1975)

Disabled Veteran (A person entitled to disability compensation through the Veteran’s Administration for a disability rated at 30% or more; or a person discharged or released from active duty for a disability incurred or aggravated in the line of duty)

Disabled (Physical or mental disability which substantially limits one or more major life activities)

Referral Source

(Check one)

Referral Advertisement

Referral Employee

Referral School

Referral Agency

Signature and Approval

By Entering your First (MI) & Last Name and Today’s Date, you approve the information above.

Signature (First [MI] & Last Name)

STEP-4: EQUAL EMPLOYMENT INFORMATION

Equal Employment Opportunity Data Sheet

Personal Data · Ethnic Group · Disabled/Veteran Status · Referral Source · Signature and Approval

Personal Data

Ethnic Group

Disabled/Veteran Status

Referral Source

Signature and Approval