Go To Search
Click to Home

Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Affirmative Action Data Survey

  1. Your application will go on file for review. If you are selected for an interview you will be contacted by phone. The following is a voluntary survey. Please consider filling it out. Thank you again, Theresa Skaggs Human Resources Specialist City of Greenbelt 25 Crescent Road Greenbelt, MD 20770 301-345-7203 or 240-542-2027 Fax: 301-982-2068

  2. The City of Greenbelt has an Affirmative Action Program to ensure equal employment opportunity in its hiring practices. Applicants are considered for all positions without regard to race, color, religion, national origin, sex, or age (except where sex or age is a bonafide occupational qualification), marital status, veteran status, or the presence of a non-job-related medical condition or disability. We are asking you to voluntarily help us monitor the effectiveness of our program by completing the affirmative action data below. This form will be filed separately from your application and the provided information will not be used to discriminate against you in any way.

  3. (Last, First, Middle)

  4. Leave This Blank:

  5. This field is not part of the form submission.