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Job Application - VOLUNTARY SURVEY

Palmetto Breeze Transit/Lowcountry Regional Transportation Authority

P.O. Box 2029

25 Benton Field Road

Bluffton, SC 29910

Phone: 843-757-5782     Fax: 843-757-5783

Email: jbonner@palmettobreezetransit.com

 

EMPLOYMENT DATA RECORD

Employees are treated during employment without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status.

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As an employer with an Affirmative Action Program, we comply with government regulations, including regulations, including Affirmative Action responsibilities where they apply.

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The purpose for this Data Record is to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of this Data Record is optional. If you choose to volunteer the requested information please note that all Data Records are kept in a Confidential File and are not a part of your Application for Employment or personnel file.

 

Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.

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VOLUNTARY SURVEY

Government agencies at times require periodic reports on the sex, ethnicity, handicap, veteran and other protected status of employees. This data is for statistical analysis with respect to the success of the Affirmative Action program. SUBMISSION OF THIS INFORMATION IS VOLUNTARY.

Check if any of the Following are Applicable:

Thank you for completing our Voluntary Survey.

Our HR department will be contacting you soon. Have a safe day!

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