400 East Indian River Road Norfolk, Virginia 23523 USA Phone:757.545.5311 Mobile:757.472.5808 FAX:757.545.7627, firstname.lastname@example.org
Affirmative Action Voluntary Form:
In an effort to comply with requirements regarding government record keeping, reporting and other legal obligations which may apply, we invite you to complete this applicant data survery. Providing this infomation is STRICTLY VOLUNTARY. Failure to provide it will not subject you to any adverse personnel decisions or actions. Your cooperation is appreciated.
Accomodation:We are committed to providing reasonable assistance to applicants with disabilities. If you need assistance during the application process, please email email@example.com or call (757) 545-2414 ext 231.