The University of Montana Applicant Self Identification Form The University of Montana’s commitment to equal opportunity, nondiscrimination, and affirmative action in employment is realized through its Affirmative Action Plan. This plan and legal responsibilities to ensure equal employment opportunity require reports of job applicants by race/ethnic categories and gender. This information: is voluntary is gathered for statistical purposes only is kept confidential, separate from application materials will not be used in any way to evaluate your qualifications for employment Name:     Last:  First:  MI:  Job Title Applying For:  Department Applying For:  Gender:     Male      Female  Ethnicity: Hispanic or Latino Not Hispanic or Latino Race: Are you multiracial? Yes No What race(s) are you? Please mark one or more:  White  Black or African American  Asian  Native Hawaiian or Other Pacific Islander  American Indian or Alaskan Native Where did you learn about this vacancy?  Campus Positing     Job Service     Newspaper     Referral     Website By choosing to submit the form, I hereby guarantee the correctness of all the statements and information provided above. I understand that the making of false statements will be sufficient cause for denying me consideration for employment or for dismissal from employment.