Office of Diversity and Equity

AFFIRMATIVE ACTION DATA QUESTIONNAIRE

Office of Diversity & Equity

In an effort to comply with State and Federal requirements, we are requesting that you take a moment to complete this questionnaire. Disclosure of the information is voluntary and will not affect your opportunity for employment, or terms or conditions of employment. The information provided will be used for State and Federal required workforce reporting purposes only and maintained in a confidential manner separate from your application.



How were you referred to us?



The security of all members of the campus community is of vital concern to Western Connecticut State University. In compliance with the Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act, information concerning campus security can be found online at http://www.wcsu.edu/police/pdf/securityreport.pdf or may be requested from the Western Connecticut State University’s Police Department (203-838-9304)