Equal Employment Opportunity Information Form

Voluntary – Confidential

Equal Employment Opportunity Information

The following information is voluntary and will be used in our Affirmative Action Program reporting. This information is confidential. It is kept separately from your application and is not used to evaluate your qualifications. Thank you for your cooperation.

Name*

First

Middle

Last

Date*

Other (Please Specify)*

Gender*

Male

Female

Position Applied For*

Thank you for submitting your application to the City of Arcadia. We would like to know how you heard about the open position. Please complete this form by checking the appropriate referral source.

Name of City Employee Referral*

Other Referral Source*

Are you human?*

This field should be left blank

The City of Arcadia website is undergoing modifications to provide enhanced access to documents for disabled individuals who are visually impaired and to comply with the requirements of the Americans with Disabilities Act (ADA) to make reasonable accommodations. If you would like to obtain a document not currently provided on the website, please contact our City Clerk, Penny Delaney, at 863-494-4114 Ext. 301 or pdelaney@arcadia-fl.gov. Thank you for your patience and understanding as we implement these changes.

Florida has a very broad public records law. Most written communications, to or from local officials regarding city business, are public records available to the public and media upon request. Your email communications may be subject to public disclosure.

City of Arcadia, Florida

Equal Employment Opportunity Information Form

Voluntary – Confidential

Equal Employment Opportunity Information

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