Applicant Information Survey | University of Miami

University of Miami, Equality Administration
Applicant Information Survey

Thank you for your interest in employment with the University of Miami. The information provided on this form will be used to determine the effectiveness of the recruitment efforts of the University and for Equal Opportunity reporting purposes only. This information will not be used as the basis for any employment decision(s). Your cooperation is appreciated.

Please review our privacy statement relating to information we collect, choice/opt-out, and correction/updating of personal information before proceeding.

* Please enter the six digit POSITION # located in the email.

(You must type in a response)

The position # located on the email received by the department.

Name (Type in a response)

How did you learn about this position? (Select only one)

If you selected Other as a source, please specify source (Type in a response)

Please provide your Race/Ethnicity and Gender. Do you consider yourself Hispanic/Latino?

(Select only one)

	Yes
	No

In addition, select one or more of the following racial categories: (Select at least one)

	American Indian or Alaska Native
	Black or African American
	Native Hawaiian or Other Pacific Islander
	Asian
	White

Gender (Select only one)

	Male
	Female

If you selected Employee Referral, please specify employees name (Type in a response)

Your form has been submitted. Someone from Equality Administration will be contacting you. If you have any questions please contact our office at the Coral Gables campus (305) 284-3064 or the Miller School of Medicine (305) 243-7203.