Position Applied For:

Gender:
MaleFemaleOther

Disabled:
YesNo

Race/Ethnicity: (Check only one.)

AMERICAN INDIAN/ALASKAN NATIVE — All persons having origins in any of the original peoples of North America, and who maintain cultural identification through tribal affiliation or community recognition.BLACK — Not of Hispanic origin; All persons having origins in any of the Black racial groups of Africa.WHITE — Not of Hispanic origin; All persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.HISPANIC — All persons of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish culture or origin, regardless of race.ASIAN/PACIFIC ISLANDER — All persons having origins in any of the original peoples of the Far East, Southeast Asia, the Indian Subcontinent, or the Pacific Islands, such as China, Japan, Korea, Vietnam, and Samoa.Two or More Races (Non-Hispanic or Latino) — Persons who identify with two or more racial categories named above.Decline to State — If you choose not to self-identify your race/ethnicity at this time, the federal government requires this employer to determine this information by visual survey and/or other available information.

To assist NVTA in our recruitment efforts, please indicate how you found out about the position?
Newspaper
Other Publication
Friend
School or other placement office
NVTA Employee / Website
Other
Walk-in

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Date