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Get TheUniversityofMaineSystemisanEqualOpportunity/Affirmative

Rovide the information requested below. Your voluntary responses are confidential and this form will not become part of your personnel file. It will be filed separately. The information you supply will in no way affect your employment status or be used in any employment decisions. Thank you for your cooperation. Sex (please check one): Male Name (first, middle, last): Emplid: Date: Female Race and Ethnicity: Are you Hispanic or Latino? (please check one): Yes, I am Hispanic or Latino. Hispan.

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