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2. Equal Opportunity
   All job applicants of the Road Commission for Oakland County are considered for all positions, and employees are treated during employment without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or disability. As an employer/government contractor, we comply with government regulations and affirmative action responsibilities.
   
   To help us comply with government record keeping, reporting and other legal requirements, we ask that you please fill out the Applicant Data Record. The information requested on this form will not be used for decisions related to hiring, placement, or any other decision related to terms and conditions of employment. Refusal to provide this information will not subject you to adverse treatment. This data is solely for periodic government reporting and is kept in a Confidential File separate from the Application for Employment. We appreciate your cooperation.
4. Name
5. Email Address
7. Address
9. City
10. State
11. Zip Code
13. Phone Number
14. Fax Number
16. Date of Birth
    Date of Birth
17. Gender

    1. Male
    2. Female
18. Type of Position Applied For
20. Race

    1. Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.
    2. White (Not Hispanic or Latino) - A Person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
    3. Black or African American (Not Hispanic or Latino) - A Person having origins in any of the Black racial groups of Africa.
    4. Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) - A Person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
    5. Asian (Not Hispanic or Latino) - A Person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent
    6. 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)
    7. Two or More Races (Not Hispanic or Latino) - All persons who identify with more than one of the above five races.
22. Highest Level of Education

    1. Not a High School Graduate
    2. High School Graduate
    3. Associate's Degree

    1. Bachelor's Degree
    2. Master's Degree
    3. Doctorate
24. Check If Any of the Following Are Applicable

    1. Person with a Disability
    2. Vietnam Era Veteran
    3. Disabled Veteran

    "Disabled Individual" Means a person who has a physical or mental impairment which substantially limits one or more of his/her major life activities; has a record of such impairment; or is regarded as having such an impairment.
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26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field