VOLUNTARY INFORMATION
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As an equal opportunity employer, Lake Chelan School
District has an Affirmative Action program designed to provide equal
employment opportunity without unlawful discrimination based on race, color,
creed, religion, age, sex, ethnicity, national origin, veteran status,
marital status or the presence of a sensory, mental or physical disability. We will appreciate your voluntarily furnishing the
following information to be used only for monitoring our Affirmative Action
progress and for statistical reporting to state and federal agencies. This information will be confidential and
will not be filed with or be made a part of your application. It is separated from your application
before your application is processed.
If you are not willing to provide this information, please answer only
the last question. Please indicate the ethnic group to which you feel you
most belong: Black/African American ____________ Asian, Pacific Islander ____________ Hispanic Origin ____________ American Indian, Eskimo/Aleut ____________ Caucasian ____________ Other (please specify) ____________ Do you have a disability?
_______yes _________no Are you a veteran? ________yes _________no Are you a Vietnam Era Veteran? (Service between ________yes ________no Are you 40 or more years old?_______ yes _________no Are you willing to provide the foregoing
information? _____ yes _____no |