ࡱ> 584S Ybjbj 4titiY hh*("*FFFFF!!!!!!!!!!$R$'!!!!!!!FF!!FF!!!V! @ F]?7a !!0("m x'M' B''!l!!!!!!!!!!!!("!!!!'!!!!!!!!!hX :  RESIDENT DATA SHEET: New Job Title Code: 7302R Clinical Instructor - Resident Name: Social Security Number: Birthdate: Gender (requested for federal reporting): Female Male Other Race & Ethnicity: ̽̽ is an Equal Opportunity/Affirmative Action Employer with a strong commitment to diversity in the student body, the faculty and staff, and the curriculum. The information requested below is used to assist us in our compliance with Federal and State equal opportunity record keeping and reporting. These questions are voluntary and will not affect your employment with the University. However, if you choose not to provide this information, please be aware that the University may instead use visual identification to comply with its Federal and State record keeping and reporting obligations. Ethnicity: Are you Hispanic or Latino? (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race). No Yes I choose not to identify. By choosing this I am aware that the University may instead use visual identification. Race: Select one or more. American Indian or Alaska Native: A person having origins in any of the original peoples of North and South America (including Central America), who maintains cultural identification through tribal affiliation or community attachment Black or African American: A person having origins in any of the black racial groups of Africa 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. 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