Please answer the following required and voluntary questions.
South Lake Pediatrics is committed to a policy of equal opportunity in accordance with all applicable Equal Opportunity / Affirmative Action laws and regulations at the federal, state, and local levels. Our organization has a contractual relationship with the state of Minnesota. As part of this relationship and as a matter of law, we must keep records of the gender and race / ethnicity status of applicants for equal employment opportunity and reporting purposes.
Please help us fulfill these commitments by providing the information requested. Providing this information is voluntary. Refusal to provide this information will not result in any adverse treatment. The information provided will be kept in confidence and will only be used in accordance with the provisions of applicable laws, executive orders, and regulations. When reported, the data will not identify any specific individual.
To be included in South Lake Pediatrics' Affirmative Action Program, please fill in the appropriate information.