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2. Confidential Applicant Information

   The Village of Westmont is an Equal Opportunity Employer. The Village of Westmont maintains statistical information on applicants in accordance with federal guidelines for Equal Employment Opportunity. This form will remain in confidential files apart from all application information and will only be utilized in compiling statistics regarding the composition of the applicant pool.

4. Ethnic Background*
   -- Select One --Hispanic or LatinoWhite (Not Hispanic or Latino)Black or African American (Not Hispanic or Latino)Native Hawaiian or Pacific Islander (Not Hispanic or Latino)Asian (Not Hispanic or Latino)Native American or Alaskan Native (Not Hispanic or Latino)Two or more races (Not Hispanic or Latino)I do not wish to disclose.

   (Pick the selection with which you most closely identify.)

5. Sex*

   1. Male
   2. Female
   3. I do not wish to disclose.
9. Todays Date*
10. Job Title*
14. How did you learn of this position?*
    -- Select One --AdvertisementOther PublicationPosting at Village HallOther job postingFriend or relativeVillage Personnel DepartmentOrganization or groupVillage employeeEmployment AgencyOther
18. Can you perform the essential job functions, as listed on the job you are applying for?*

    1. Yes
    2. No
20. Please list any accommodations you may need in order to perform the essential job functions of the position you are applying
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field