Voluntary Data Record Survey

Applicants and employees at Puget Sound Coatings are treated equally, without regard to race, color, religion, sex, national origin, age, marital status, medical condition or disability, or any other legally protected status. At the time, as an employer with an affirmative action program, we comply with government regulations, including affirmative action responsibilities and reports where they apply. 

Government agencies periodically require reports on the status of protected employees. The purpose of this Voluntary Data Record is to comply with government record keeping, reporting and other requirements. These data surveys are for statistical analysis with respect to the success of the organization's affirmative action program only. 

 

Completing this survey is optional. All data records are kept in a confidential file and are not a part of your application for employment or personnel file.

(Note: The decision to submit this information in voluntary)

Name *
Name
Date *
Date
Gender
Birth date
Birth date
Racial / ethnic background
Check the following if applicable

 

*Other Eligible Veteran includes those who served in a "war" and those who served in a campaign or expedition for which a campaign badge has been awarded.