VOLUNTARY EQUAL EMPLOYMENT OPPORTUNITY STATEMENT AND SELFIDENTIFICATION FORM
Del Monte Foods is an Equal Opportunity Employer and provides employment and advancement opportunities through affirmative action in accordance with Executive Order 11246, Section 503 of the Rehabilitation Act of 1973 as amended, and the Vietnam Era Veterans’ Readjustment Assistance Act of
1974, as amended, which require Government contractors to take affirmative action to ensure that applicants are hired and employees are treated without regard to race, color, religion, sex or national origin, and to employ and advance qualified individuals with disabilities, qualified veterans, recently separated veterans, other protected veterans, and Armed Forces service medal veterans.
We invite you to provide the following information, which meets certain governmental recordkeeping and reporting requirements. If you choose to complete the form, please return completed forms to Human Resources.
If you are an individual with a disability, disabled veteran, recently separated veteran, other protected veteran or Armed Forces service medal veteran, we would like to include you under our affirmative action program. If you would like to be included, please complete the “Disability/Veteran Status” section of this form. You may inform us of your desire to benefit under the program at this time and/or at any time in the future.
Providing this information is voluntary, and refusal to provide it will not subject you to any adverse treatment. The information provided will be used only in ways that are not inconsistent with Executive Order 11246, section 503 of the Rehabilitation Act, and the Vietnam Era Veterans’
Readjustment Assistance Act of 1974, as amended. Information obtained concerning you shall be kept confidential, except that 1) information may be provided to supervisory personnel in order to facilitate their affirmative action responsibilities, 2) supervisors and managers may be informed regarding restrictions on the work or duties of veterans or other individuals with disabilities and regarding necessary accommodations, 3) first aid and safety personnel may be informed when and to the extent appropriate if you have a condition that might require emergency treatment, and 4) government officials investigating compliance with applicable laws may be informed.
_________________________________________
Name (Print Clearly)
INDICATE CITY AND STATE WHERE APPLICATION WAS COMPLETED:
TYPE OF POSITION APPLYING FOR:
Professional/Managerial
Maintenance
Technician
Production
Support Staff (Clerical/Secretarial)
Other: ___________________________
GENDER:
Female
Male
RACE/ETHNIC CATEGORY (as defined by the Equal Employment Opportunity Commission):
White
(Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa or the Middle East.
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 Mexican, Puerto Rican, Cuban, Central or South American or other Spanish culture or origin regardless of race.
Asian
(Not Hispanic or Latino)
A person having origins in any of the original peoples 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.
