We have received notification of your application for employment with Case Western Reserve University. Federal regulations require the voluntary collection and retention of certain information for statistical reporting and to meet Federal EEO/AA requirements.
Case Western Reserve University does not discriminate in recruitment, employment nor policy administration on the basis of race, religion, age, sex, color, disability, sexual orientation, national or ethnic origin, political affiliation, or status as disabled veteran or veteran of the Vietnam era.
The University has instituted safeguards to ensure the confidentiality of this information. Only the Faculty Diversity Officer will access to the database and individuals will not be identified in the reporting of results. If you do not wish to provide the information, please check the appropriate box below. Completion of this survey is optional and will not affect the status of your application. Thank you for your cooperation.
Please provide the following information:
Visiting Senior Instructor
Visiting Assistant Professor
Visiting Associate Professor
If Other, Please Specify
Case School of Engineering
College of Arts and Sciences (includes SAGES and Athletics)
Frances Payne Bolton School of Nursing
Mandel School of Applied Social Sciences
School of Dental Medicine
School of Law
School of Medicine
Weatherhead School of Management
American Indian or Alaskan Native: (Not Hispanic or Latino) A person having origins in any of the original people of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
Asian: (Not Hispanic or Latino) A person having origins in any of the original people 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: (Not Hispanic or Latino) A person having origins in any of the Black racial groups of Africa.
Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
Native Hawaiian or Other Pacific Islander: (Not Hispanic or Latino) A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
White: (Not Hispanic or Latino) A person having origins in any of the original people of Europe, the Middle East or North Africa.
Two or More Races: (Not Hispanic or Latino) All persons who identify with more than one of the above five races. Please note races.
Not a veteran
Veteran (other than Vietnam Era)
Vietnam Era veteran
Disable veteran (Vietnam Era)