Affirmative Action Information

The DeMaria Building Company complies with all applicable laws, regulations and responsibilities to Affirmative Action.

All applicants for open positions, in addition to employees in current positions, are considered without regard to race, color, national origin, sex, age, religion, veteran status or disability.

To help us comply with government reporting requirements, Executive Order 11246, we ask that you please supply the information requested on this form.

*This form will be detached from the application immediately and placed in a separate, confidential file for use in completing periodic government reports.

Your voluntary cooperation is appreciated.

Date: ______

Location: ______

Position Applied For: ______

Referral Source:
Newspaper/ Internet Recruiter Unemployment Agency
Friend / Relative Private Agency University/College
Employee Referral Walk-in Other
Veteran Status:
Vietnam Veteran Disabled Veteran Other Eligible Veteran (Those who served in a “war” or those who
served in a campaign or expedition for which a campaign badge
has been awarded.)
Gender: Male Female
Please Check One:

White, not of Hispanic origin Hispanic or Latino (all races)
Black or African American American Indian or Alaskan Native
Asian Native Hawaiian or other Pacific Islander

For the purpose of affirmative action programs, the following definitions apply:

White, not of Hispanic origin – Peoples having origins in any of the original peoples of Europe, North Africa, or the Middle East

Black or African American, not of Hispanic Origin – Peoples having origins in any of the black racial groups of Africa

Asian – Persons having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent. This includes, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, and the Philippine Islands.

Native Hawaiian or Other Pacific Islander – A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

Hispanic or Latino (all races) – Persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture of origin, regardless of race.

American Indian or Alaskan Native – A person with origins in any of the original peoples of North America and South America (including Central America) who maintains cultural identification through tribal affiliation or has community attachment.

DeMaria Building Company is an Equal Opportunity Employer