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SID Equal Employment Opportunity Questionnaire

  1. 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.

  2. 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:

  3. GENDER:
  4. AGE: Over 40 Years?
  5. RACE/EHNIC CATEGORY

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

    cultural identification through tribal affiliation or community recognition

  6. APPLICANTS WITH DISABILITIES

    DISBALED

  7. 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.

  8. Leave This Blank:

  9. This field is not part of the form submission.