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:
Ethnic
Background:
Alaska Native* (please complete section below)
American Indian
A sian
Black
or African American Hispanic or Latino
Native Hawaiian or other Pacific Islander
Other
Two or more races
White
Gender:
Female
Male
*Alaska Native Only
Certificate of Indian
Blood (CIB) card? Mail a copy of CIB card to the address listed
below.
Native
Corporation(s)? 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. Signature :
Printed Name:
Date:
Alyeska Pipeline - Attn: Recruiting
Office 536
