It is the policy of Talley Construction Company, Inc to provide equal employment opportunity to all employees and applicants for employment without regards to race, color, religion, national origin, age, sex, gender, pregnancy, disability, sexual orientation, gender identity, genetic information, military status, veteran status, or other classification protected by applicable federal, state, or local laws.

Various agencies of The United States Government require employers to collect information on applicants. Information requested on this sheet is for purposes of compliance with these recordkeeping requirements and to determine recruiting and employment matters. If you wish to be identified, please provide any of the information requested on this form that you would like to submit. You may submit this information now or at any time in the future.

Such information will in no way affect the decision regarding your application for employment. This sheet will be kept confidential and maintained separately from your application form.

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* 1. Name

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* 2. Date

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* 3. Position Applied For

Completion of the following is voluntary and is not a requirement for employment.

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* 4. Gender

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* 5. ETHNICITY CLASSIFICATION (please choose only one)

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* 6. Disability  Status - Do you have a disability?

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* 7. Veteran Status

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