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Voluntary Self-Identification

Agiloft values diversity, equity and inclusion. We invite you to complete this optional survey to help us evaluate our diversity and equity efforts. Submission of the information on this form is strictly voluntary. Information obtained will be kept separate from your name or job application and will be kept secure and confidential. Information obtained will have no effect on your opportunity for employment.

• What gender do you identify as?
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• I identify my ethnicity as
  • White (Including English, Welsh, Scottish, Northern Irish, British, or any other White background)
  • Black (Including African, African-American, Black British and Caribbean, or any other Black, African or Caribbean background)
  • Asian (Including Asian British, Indian, Pakistani, Bangladeshi, Chinese, Japanse, Korean or any other Asian background)
  • Hispanic or Latin (Including Cuban, Mexican, Puerto Rican, South or Central Aerican, or other Spanish culture or origin regardless of race)
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  • Native Hawaiian or Pacific Islander (Including Hawaii, Guam, Samoa or other Pacific Islander)
  • Mixed/multiple ethnic background
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• Are you disabled, or consider yourself to be disabled under the Disability Discrimination Act?

  You are considered to have a disability under the Equality Act of 2010 if you have a physical or mental impairment that has a "substantial" and "long-term" negative effect on your ability to do normal daily activities. Disabilities include, but are not limited to autism, autoimmune disorder (lupus, fibromyalgia, rheumatoid arthritis, or HIV/AIDs), blind or low vision, cancer, cardiovascular or heart disease, celiac disease, cerebral palsy, deaf or hard of hearing, depression or anxiety, diabetes, epilepsy, gastrointestinal disorders, intellectual disability, missing or partially missing limbs, nervous system condition (migraine headaches, Parkinson's disease, MS); or psychiatric condition (bipolar disorder, schizophrenia, PTSD, or major depression).

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• By applying for this position, your data will be processed as per Agiloft Privacy Policy.

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