Irish Construction Company
Voluntary Affirmative Action Information

This form is to be completed voluntarily by the applicant. This is not for interview use and will be filed separately from the application.

In an effort to comply with requirements regarding government recordkeeping, reporting and other legal obligations which may apply, we invite you to complete this applicant data survey. Providing this information is strictly voluntary. Failure to provide it will not subject you to any adverse personal decision or action. Your cooperation is appreciated.

Please be advised that this survey is not a part of your official application for employment. It will not be used in any hiring decision. The information will be used and kept confidential in accordance with the applicable laws and regulations.
Position Applied For: Date:
Name:  
Address:  
City:  
State:  
Zip:  
Phone Number:  
 
Male          Female          Decline to Answer
 
Please check one of the following Equal Opportunity Identification Groups:
American Indian / Alaskan Native White
Native Hawaiian / Other Pacific Islander Black / African American
Hispanic / Latino (White Race Only) Asian
Hispanic / Latino (All Other Races) Decline to Answer
We consider all applicants for positions without regard to race, color, religion, sex, national origin, citizenship, age, mental or physical disabilities, veteran / reserve / national guard or any other similarly protected status. We also comply with all applicable Federal laws governing employment practices and do not discriminate on the basis of any unlawful criteria.