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Human Resources Office

IPEDS has put forth new reporting requirements for ethnicity and we need your help ensuring up-to-date and accurate information. Additionally the emergency preparedness committee would like a confidential listing of cell phone numbers to utilize only in the case of an emergency on campus. If you could complete the attached survey information by November 13th we would greatly appreciate it. Contact Vickie Farmer, Human Resources Director, x4243 with any questions or concerns.

Racial Group & Cell Phone Information

Email: *
First Name: *
Last Name: *
Cell Phone Number:
Do you consider yourself to be Hispanic or Latino?: *		Yes    No
Regardless of your answer to the prior question, please select one or more of the following groups in which you consider yourself to be a member.
Racial Group: *		American Indian or Alaka Native    Asian    Black or African American    Native Hawaiian or other Pacific Islander    White
* Required Field