Application for Employment Personal Personal Information For which college would you like to apply?* First Name* Middle Name* Last Name* Other names used Preferred Name Address* City* State (enter NA if a non US address)* Zip Code* Country* Telephone Number* Message Telephone Number Email Address* Documents Documents needed to Apply Please attach your resume and cover letter. Also, refer back to the job listing to check for additional required documents. Attach Document Upload Video. EEO/AA Equal Employment Opportunity and Affirmative Action Candidate's Name* Position Title* Date* Completion of this form is voluntary. Refusal to provide information will not subject applicant to adverse treatment. Please return this card promptly. 1. Ethnic Background (check appropriate box): BLACK Afro-American or African origin WHITE (Not Hispanic) European, North African or Middle Eastern Origin HISPANIC Mexican, Puerto Rican, Cuban, Central or South Amedcan odgin ASIAN or PACIFIC ISLANDERJapanese, Chinese, Kore811,Indian Subcontinent or Pacific Islander ongin AMERICAN INDIAN or ALASKAN NATIVE NON-RESIDENT ALIEN 2. Sex : MALE FEMALE 3. U.S. Citizen : YES NO 4. Military Service : VIETNAM ERA VETERAN YES NO DISABLED VETERAN YES NO OTHER MILITARY SERVICE YES NO 5. Handicapped : YES NO If so, indicate disability : How did you learn about this vacancy? Compliance with this request is consistent with Federal, State and local laws, and Mountwest Community & Technical College Equal Employment Opportunity/Affirmative Action Policies.
