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EEO Form


 
E-Mail of Applicant:
Name of Applicant:
Equal Employment Opportunity Information
Alyeska Pipeline Service Company has an Equal Employment Opportunity Affirmative Action program. You may voluntarily help Alyeska in its efforts to comply with the program’s reporting requirements by answering the following questions. Under the State and Federal law, the information you provide cannot be used to discriminate against you.
Place of Birth:
      USA       Other
Ethnic Background:
      White
      Black
      Hispanic
      Asian/Pacific Islander
      American Indian
      Alaska Native*
            (please complete section below)
      Other
Gender:
      Female
      Male
*Alaska Native Only
Certificate of Indian Blood (CIB) card?    Yes       No
Mail a copy of CIB card to the address listed below.
Native Corporation(s)?
      Yes       No
If yes, which corporation(s)?
     
All Applicants The information that I have provided above is true and correct:

Please print and mail this page to the address listed below. 
Please do not mail your resume.

Signature :       

 

Printed Name: 

Date:               

Alyeska Pipeline - Attn:  Recruiting Office 536
P.O. Box 196660
Anchorage, AK  99519-6660

 

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Alyeska Pipeline Service Company - P.O. Box 196660, Anchorage, AK, 99519-6660
AllenJN@alyeska-pipeline.com
Copyright 2000 Alyeska Pipeline Service Company. All Rights Reserved.