Equal Opportunity Survey

Voluntary Equal Employment Opportunity

survey for applicants.

Rosenboom is an Equal Employment Opportunity 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 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. Rosenboom thanks you for your cooperation and assistance in this matter.

Equal Employment Opportunity

Optional questions to complete.
  • Race
    (Please check one of the descriptions below corresponding to the ethnic group with which you most identify.)