APPLICANT EQUAL EMPLOYMENT OPPORTUNITY VOLUNTARY SURVEY  Rosenboom Machine & Tool, Inc. is an Equal Opportunity, Affirmative Action employer. This form is a voluntary survey that will be kept confidential and separate from your employment application. The purpose of this form is to assist in the record keeping for Affirmative Action and Equal Employment Opportunity reporting only. Completion of this form is completely voluntary and will not affect your opportunity for employment, or terms or conditions of employment if hired. RMT thanks you for your cooperation and assistance in this matter. Position Applying For First Name Middle Name Last Name Date of Birth (mm/dd/yy) Gender Male     Female Race Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race. White (Not Hispanic or Latino) - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa. Black or African American (Not Hispanic or Latino) - A person having origins in any of the black racial groups of Africa. Native American or other Pacific Islander (Not Hispanic or Latino) - A person having origins in any of the people of Hawaii, Guam, Samoa, or other Pacific islands. Asian (Not Hispanic or Latino) - A person having origins in any of the original peoples of the Far East, Southeast Asian, or the Indian Subcontinent, including, for example, Cambodia, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. American Indian or Alaska Native (Not Hispanic or Latino) - 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. Two or More Races (Not Hispanic or Latino) - All persons who identify more than one of the above five races. RMT thanks you for your cooperation and assistance