2. SOLANO IRRIGATION DISTRICT
    EQUAL EMPLOYMENT OPPORTUNITY QUESTIONNAIRE

   To assist Solano Irrigation District in its commitment to Equal Employment Opportunity, applicants are asked to voluntarily provide the following information. This questionnaire will be separated from the application upon receipt and will not be used in any employment decisions. This information is voluntary and is gathered in accordance with State and Federal laws. We appreciate your cooperation.

4. Position Applied For:
6. In order to assist the District in evaluating the effectiveness of its recruitment program, please indicate below how you became aware of this job opportunity:

   1. District Employee
   2. LinkedIn
   3. Vacaville Reporter

   1. Governmentjobs.com
   2. E.D.D./ Unemployment Office
8. Job Search Engines
9. Trade/Professional Job Board
10. Social Media
11. Other
13. GENDER:

    1. Male

    1. Female
14. AGE: Over 40 Years?

    1. Yes

    1. No
16. RACE/EHNIC CATEGORY

    1. WHITE (Not of Hispanic Origin): All persons having origins in any of the origin of peoples of Europe, North Africa or Middle East
18. 1. BLACK or AFRICAN AMERICAN (Not of Hispanic Origin): All persons having origins in any of the Black racial groups of Africa
20. 1. HISPANIC: All persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race
22. 1. ASIAN OR PACIFIC ISLANDER: All persons having origins in any of the original peoples of the Far East, Southeast Asia, the

    Indian subcontinent, or the Pacific Islands.  This area includes, for example, China, India, Japan, Korea, Samoa, and Philippine Islands.

24. 1. AMERICAN INDIAN OR ALASKAN NATIVE: All persons having origins in any of the original peoples of North America and who maintain

    cultural identification through tribal affiliation or community recognition

26. 1. OTHER
27. Please specify:
29. APPLICANTS WITH DISABILITIES

    DISBALED

    1. Yes

    1. No

31. A person with a disability is an individual who: (1) has a physical or mental impairment or medical condition that limits one or more life activities, such as walking, speaking, breathing, performing manual tasks, seeing, hearing, learning, caring for oneself or working; (2) has a record or history of such impairment or medical condition; or (3) is regarded as having such an impairment or medical condition. 

    If you are a qualified individual with a disability, that is, someone who is able to perform the essential functions of the job, with or without reasonable accommodation, and need special arrangements during the examination/selection process, please attach a letter to this application explaining the nature of the special accommodation you will require.

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32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit Submit and Print

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