About the College > Human Resources > Personal Data Form
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Personal Data Form

 

 
 
      
Human Resources
3520 Central Parkway,  Cincinnati, Ohio 45223-2690
Phone: (513) 569-1565
  

An Equal Opportunity Employer M/F/V/H
Applicants are considered for all positions without regard to race, color, religion, sex, age, national origin,  marital or veteran status, sexual preference, non-job related medical condition, or handicap.

As a public education institution, we must comply with governmental regulation and affirmative action responsibilities.  You may help us comply with governmental record keeping, reporting, and other legal requirements by completing the Personal Data Record.  We appreciate your cooperation.

This data is for periodic governmental reporting and will be kept in a CONFIDENTIAL FILE, separate from the Employment Application.  Submission of information is optional.
 
Date of application:
(mm/dd/yy)
First name
Middle name
Last name
Street address
City  
State  
Zip code
Position applied for
   
Select one:  
Female Male
 
Select one of the following groups:
African/American Caucasian
American Indian/Alaskan Native Hispanic 
Asian/Pacific Islander    
 
Check if any of the following are applicable:
Disabled Veteran
Individual with a disability
Vietnam Era Veteran