Applicant Survey Form | Saint Mary's College, Notre Dame, IN

Applicant

Last Name *

First Name *

Middle Name

Position Applying For *

How did you hear about the position? *

Hispanic or Latino or Spanish Origin: means a person with origins of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish Culture or origin, regardless of race.

Ethnicity *

Yes, Spanish/Hispanic/Latino

No, not Spanish/Hispanic/Latino

Black or African American: means a person with origins in any of the Black racial groups of Africa.

Asian: means a person with origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam.

American Indian or Alaska Native: means person with origins in any of the original peoples or North America and South America (including Central America) and who maintains tribal affiliation or has community recognition as an American Indian or Alaska Native.

White: means a person having origins in any of the original peoples of Europe, the Middle East, or North Africa

Native Hawaiian or Other Pacific Islander: (race) means a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands. (Native Hawaiian does not include individuals who are native to the state of Hawaii by virtue of being born there.)

Race *

Black or African American

Asian

American Indian or Alaska Native

White

Native Hawaiian or other Pacific Islander

Sex *

Female

Male

Vietnam Era Veteran: An applicant who: (a) served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred (i) in the Republic of Vietnam between February 28, 1961 and May 7, 1975 or (ii) between August 5, 1964 and May 7, 1975, in all other cases; (b) was discharged or released from active duty for a service-connected disability if any part of such activity was performed during the times and places specified under (a).

Disabled Veteran: An applicant entitled to disability compensation under Veterans Administration for a disability rate of 30% or more, or whose discharge/release from active duty was for a disability incurred or aggravated in the line of duty.

Other Eligible Veteran: Served on active duty during a war or in a campaign or expedition for which a campaign badge has been authorized.

US Veteran Status *

None

Vietnam Era

Disabled Veteran

Other Eligible Veteran

Disability *

Yes

Age *

Under 40

40 and over