Voluntary self-identification of race, ethnicity, and sex for EEO-1 reporting and affirmative action purposes. Completion is voluntary and kept strictly separate from personnel decisions.
The Voluntary EEO Self-Identification is a ready-to-use records & authorization template you can send for signature in minutes. It is written for 1 signer (employee) and, by default, expires 30 days after it is sent if left unsigned. It covers eeo, self identification, diversity, compliance, records, voluntary. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.
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# Voluntary EEO Self-Identification --- ## Why We Ask **___________** is an equal opportunity employer committed to a workplace free from discrimination. We are required by federal law to collect certain workforce data and report it to the Equal Employment Opportunity Commission (EEOC) through the EEO-1 report. The information you provide on this form is used solely for that purpose and for our internal equal opportunity and affirmative action programs. --- ## Your Participation Is Voluntary **This form is completely voluntary.** You are not required to provide this information. Your decision to identify, decline to identify, or not respond will have no effect on your employment, compensation, advancement, or any other term or condition of your employment. There is no penalty for declining. Self-identification data is: - Kept in a **separate, confidential file** apart from your personnel file. - Accessible only to HR personnel with a business need for EEO reporting. - **Never used in any hiring, promotion, compensation, or other employment decision.** - Reported to the EEOC and other agencies only in aggregate, statistical form — never associated with your name. --- ## Employee Information **Employee Full Name:** ___________ **Employee ID:** ___________ **Department:** ___________ **Job Title:** ___________ **Work Location (City, State):** ___________ --- ## Sex Please select the option that best describes your sex as you choose to identify it for EEO reporting purposes. This is a required EEO-1 reporting field; however, you may select "Prefer not to answer."