EEO Form

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EEO Form

Applicant Information: First Name: Last Name: E-Mail 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: USA Other
Ethnic Background: (Please choose ALL* that apply) Alaska Native (please complete section below) American Indian Asian Black or African American Hispanic or Latino Native Hawaiian or Pacific Islander White	Gender: Female Male
** Alaska Native Only **
Do you have a Certificate of Indian Blood (CIB) card?	Yes No
Are you a shareholder of a Native / Regional / Village Corporation(s) or Tribal Council?	Yes No
If yes, which Native / Regional / Village Corporation(s) or Tribal Council?
If you are not a shareholder, are your parents or grandparents shareholders of a Native / Regional / Village Corporation(s) or Tribal Council?	Yes No
If yes, which Native / Regional / Village Corporation(s) or Tribal Council?

All Applicants By clicking 'Submit' you are confirming that the information provided above is true and correct:

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	Alyeska Pipeline Service Company - P.O. Box 196660, Anchorage, AK, 99519-6660 alyeska_jobs@alyeska-pipeline.com Copyright 2000 Alyeska Pipeline Service Company. All Rights Reserved.