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Equal Opportunity Employment Self Report

Alaska Pacific University is an Equal Opportunity Employer and complies with all applicable federal and state regulations. We are required to solicit the information indicated below. This data is for analysis and reporting purposes only. Submission of this information is completely voluntary. Failure to supply this information will not result in any adverse treatment.

* First Name:

* Last Name:

Gender

Male

Female

Other

Ethnic Identification

American Indian or Alaska Native - A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.

Asian - A person 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.

Black or African American - A person having origins in any of the black racial groups of Africa.

Native Hawaiian or Other Pacific Islander - A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

White - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.

Two or More Races - All persons who identify with more than one of the above races.

Other Information

Disabled Veteran

Armed Forces Service Medal Veteran

Recently Separated

Other Protected Veteran

Voluntary Refusal to Submit Information - Failure to supply this information will not result in any adverse treatment.

I have read the above information and choose to not answer or feel that none of the categories apply to me.

4101 University Drive · Anchorage, Alaska 99508

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