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To the applicant: To ensure compliance with state and federal regulations, we
request that you provide the following information. Your submission of this information is optional. This portion of the
application is used for statistical purposes only. It will be detached and will not become a part of your applicant file.
Inclusions of or exclusions of this information will not affect the hiring process.
Please Fill In the Appropriate Response to Each Section.
*Click here for definitions
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