Equal Employment Opportunity Survey for Job Applicants

It's is the policy of the Judicial Branch to provide all applicants for Judicial Branch employment with equal employment opportunities without regard to race sec, creed, religion, national origin, age, color, or disability.  This information is strictly voluntary and will in no way affect you as an applicant.  Its sole use will be to see how well our recruitment efforts are reaching segments of the population.

Sex
Ethnic Group

DISABILITY: "Disability means, with respect to an individual: (1) a physical or mental impairment that substantially limits one or more major life activities of such individual; (2) a record of such an impairment; or (3) being regarded as having such impairment." (Americans with Disabilities Act of 1990).  Persons without a disability should check the first item (None/Prefer not to report). 

The reporting of a disability is strictly VOLUNTARY.  Persons with disabilities who DO NOT WISH to report their disabilities should check the first item (None/Prefer not to report).   Information reported on this form will be kept confidential as required by State law.  Public disclosure of this information without your consent would be a violation of G.S. 126-27.

Disabilities (please select all that may apply)
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