Applicant Data Record Form

Applicants for employment are considered for all positions, and employees are treated during employment without regard to race, color, religion, national origin, sex, age, martial or veteran status, or disability.

As a local government employer, we comply with government and equal employment regulations. Please assist us in complying with government record-keeping reporting and other local requirements by completing the questions listed below. Your responses will be used for statistical purpose only and will be kept in a confidential file, separate from the employment application. The information you supply is voluntary and will not be used for employment purposes.