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Forms > Equal Employment Opportunity Data Form

As part of Frostburg State University’s policy on nondiscrimination and its Equal Opportunity Program, all applicants for employment are requested to voluntarily complete and submit this form. The Director of EEO uses this form in an attempt to monitor and enhance equal employment opportunity practices. If you have not previously done so, please take a few moments to provide the information requested below. A downloadable version of the form is also available (Word format).

Required Fields are marked with a red asterisk (*).

Leave this field empty
First Name*
Last Name*
Gender*
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Are you of Hispanic or Latino origin?*
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Race*
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Other Race
Please specify your race.
American Citizen*
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Country of Origin*
Status in U.S.*
Do you have any disability for which the University might make accommodations to enable you to perform in the position being applied for?
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*
Accomodations*
Please indicate the accommodations needed.
Are you a veteran of the Vietnam era?*
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Are you a disabled veteran?*
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