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CONFIDENTIAL OCONEE COUNTY BOARD OF COMMISSIONERS HUMAN RESOURCES It is the policy of Oconee County to ensure equal opportunity in employment and promotion. This policy will be administered without regard to race, color, sex, religion, national origin, age, marital or veteran status, the presence of a disability or any other legally protected status. For Equal Employment Opportunity (EEO) statistical data, we request the following from you. If you choose not to complete this form it will not affect your application for a position. This form is not a part of the attached application for employment form. This sheet will be separated by Human Resources and filed separately from the employment application. All information will be considered strictly private and confidential and will be used for EEO purposes only. If you prefer not to reply, leave this sheet blank. Your cooperation is appreciated. If you have any questions, please contact Human Resources at (706) 769-3938. Position(s) applied With which ethnic group do you most identify? 1. Black or African American Not of Hispanic Origins 2. White Includes origins of Europe, North Africa, Middle East, Not Hispanic or East Indian 3. Hispanic or Latino Includes origins of Mexican, Puerto Rican, Central or South American, or other Spanish Culture 4. American Indian or Alaska Native 5. Asian 6. Native Hawaiian or other Pacific Islander 7. Two or more Races REFERRAL SOURCE: _______Walk-in _______Relative _______Website _______Employee _______Newspaper _______Other