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Iowa Valley Community College District

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About the District

Administration & Board of Directors
Accreditation
Employment
About the District

Phone & Email
Staff Directory

Employment

Affirmative Action Survey

Applicant Confidential Information

Please take the time to fill out this affirmative action survey. This survey is optional. This will not be used for interview purposes and will be filed separately from application materials.

If you do not complete the entire application for submission at this time, please only complete and submit this survey once. Thank you for your participation in this survey!

If you don't want your message to be sent then fill this field in:


City:	State:

County:	Zip:

Position(s) Applying for:

Completion of this form is optional. It is the policy of the Iowa Valley Community College District to provide equal employment opportunities without discriminating on the basis of race, religion, color, marital status, sex, national origin, age, disability, sexual orientation, or gender identity. Information regarding these areas of applicants is required for compliance with the U.S. Equal Employment Opportunity Commission and the Office of Civil Rights in the U.S. Department of Education. Since IVCCD must submit statistical reports to these agencies, the completion and return of this form will be greatly appreciated. All information will be held confidential by the Office of Equal Employment Opportunity/Affirmative Action. Please be advised that your survey is not a part of your official application for employment. It is considered confidential information that will not be used in any hiring decision.

Select One:

Male

Female

Select one of the following:
	Hispanic or Latino:A person of Cuban, Mexican, Puerto Rican, Cuban, South or Central American, or other Spanish culture or origin, regardless of race.
	American Indian or Alaska Native:A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
	Asian:A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
	Black or African American:A person having origins in any of the black racial groups of Africa.
	Native Hawaiian or Other Pacific Islander:A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
	White:A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Are you currently disabled?
	No		Yes		- Disabled
Are you a veteran?
	No		Yes		- Veteran (any era)
Are you a U.S. citizen?
	No		Yes		- U.S. Citizen

Your survey is being submitted. Please wait.

Thank you for completing this survey!!

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Location & Contact

: 3702 S. Center Street
Marshalltown, IA 50158

: 641-752-4643
1-800-284-4823

: ivinfo@iavalley.edu

It is the policy of Iowa Valley Community College District to provide equal educational and employment opportunities without discriminating on the basis of race, religion, color, creed, marital status, national origin, age, disability, sexual orientation, gender identity, or sex, in its educational programs, activities, practices and policies.

Copyright © 2015 Iowa Valley Community College District. All rights reserved.

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If you have issues submitting your app please email ivccdjobs@iavalley.edu.