UIS Adjunct EEO Form - CONFIDENTIAL

UIS Adjunct EEO Form - CONFIDENTIAL

Equal Opportunity Information Request Form

The University of Illinois at Springfield is an Access & Equal Opportunity employer with a strong institutional commitment to recruitment and retention of a diverse and inclusive campus community. An important component of the affirmative action program is a careful evaluation of recruiting efforts for each position. To meet this objective and to comply with federal laws, executive orders, and applicable state law and regulations, the information requested below must be collected and analyzed. Safeguards have been instituted to ensure that the information will not be used as a basis of discrimination. NOTE: Completion of this form is voluntary; failure to complete it will not affect your application for employment. Information about the campus, programs and services including UIS crime statistics are available at our website: www.uis.edu. The Access & Equal Opportunity webpage is located at: www.uis.edu/aeo.


The University of Illinois is required by federal law to request and maintain data on the race/ethnic and gender identity of applicants. This data provides the University of Illinois and the Federal government with information necessary to monitor the University's compliance with Equal Employment Opportunity requirements. This information is optional and will NOT be seen by hiring units within the University.


Please complete this form and click Submit. Submission of the information requested is voluntary, and failure to provide it will not subject you to any adverse treatment.

Applicant Information

 

 

 

 

 

 

 

9. What prompted you to apply to the University of Illinois at Springfield?

9. What prompted you to apply to the University of Illinois at Springfield?

 

11. Gender

11. Gender

12. Ethnic identification: Please identify your ethnicity. Are you Hispanic or Latino?

12. Ethnic identification: Please identify your ethnicity. Are you Hispanic or Latino?

13. Racial Identification: Please select one or more groups below to identify yourself based on race:

13. Racial Identification: Please select one or more groups below to identify yourself based on race:

Do You Have Any Current or Past Military Service?

The University of Illinois Administration is a government contractor subject to the Vietnam Era Veteran's Readjustment Assistance Act of 1974, as amended (VEVRAA), which requires government contractors to take affirmative action to recruit, employ, and advance in employment certain categories of veterans. These categories of protected veterans are defined below. As a government contractor subject to VEVRAA, we are required to solicit this information from applicants, and your response will assist us in measuring the effectiveness of our outreach and positive recruitment efforts. We also maintain an affirmative action plan for protected veterans, designed to ensure that we recruit, hire, train, and promote all persons in all job titles, and ensure that all other personnel actions are administered without regard to protected veteran status.

Submission of this information is voluntary. Refusal to provide a response will not subject you to any adverse treatment. Responses will be kept confidential and will not be used in any manner that is inconsistent with VEVRAA.

The term “Disabled Veteran” is defined as a (1) veteran of the U.S. military, ground, naval, or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Department of Veterans Affairs; or (2) a person who was discharged or released from active duty because of a service-connected disability.

The term “Active Duty Wartime or Campaign Badge Veteran” means any veteran who served on active duty in the U.S. military, ground, naval, or air service, participated in a United States military expedition for which a campaign badge has been authorized.

The term “Armed Forces Service Medal Veteran” means a veteran who, while serving on active duty in the U.S. military, ground, naval, or air service, participated in a United States military operation for which an Armed Forces service medal was awarded.

The term “Recently Separated Veteran” is defined as any veteran discharged or released from active duty in the past three years.

14. If you belong to any of the categories of protected veterans listed above, please indicate by checking the appropriate box:

14. If you belong to any of the categories of protected veterans listed above, please indicate by checking the appropriate box:

The University of Illinois Administration is a government contractor subject to the Vietnam Era Veteran's Readjustment Assistance Act of 1974, as amended (VEVRAA), which requires government contractors to take affirmative action to recruit, employ, and advance in employment certain categories of veterans. These categories of protected veterans are defined below. As a government contractor subject to VEVRAA, we are required to solicit this information from applicants, and your response will assist us in measuring the effectiveness of our outreach and positive recruitment efforts. We also maintain an affirmative action plan for protected veterans, designed to ensure that we recruit, hire, train, and promote all persons in all job titles, and ensure that all other personnel actions are administered without regard to protected veteran status.

Submission of this information is voluntary. Refusal to provide a response will not subject you to any adverse treatment. Responses will be kept confidential and will not be used in any manner that is inconsistent with VEVRAA.

The term “Disabled Veteran” is defined as a (1) veteran of the U.S. military, ground, naval, or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Department of Veterans Affairs; or (2) a person who was discharged or released from active duty because of a service-connected disability.

The term “Active Duty Wartime or Campaign Badge Veteran” means any veteran who served on active duty in the U.S. military, ground, naval, or air service, participated in a United States military expedition for which a campaign badge has been authorized.

The term “Armed Forces Service Medal Veteran” means a veteran who, while serving on active duty in the U.S. military, ground, naval, or air service, participated in a United States military operation for which an Armed Forces service medal was awarded.

The term “Recently Separated Veteran” is defined as any veteran discharged or released from active duty in the past three years.

A Vietnam-era Veteran is any veteran of the U.S. armed forces who, between August 5, 1964 and May 7, 1975, served on active duty for at least 181 consecutive days, or who was discharged sooner because of a service-related disability.

15. Are you a Vietnam-era Veteran?

15. Are you a Vietnam-era Veteran?

A Vietnam-era Veteran is any veteran of the U.S. armed forces who, between August 5, 1964 and May 7, 1975, served on active duty for at least 181 consecutive days, or who was discharged sooner because of a service-related disability.

16. Do you have a disability?

16. Do you have a disability?