§ 52.021 AFFIRMATIVE ACTION.
 
AFFIRMATIVE ACTION
FOR STATISTICAL USE ONLY
 
The Northeast Illinois Railroad Corporation is an equal opportunity employer. To assist in the guarantee that this goal is accomplished, we need the following information from you. This information will not accompany your application, will not be used in the decision to hire or not to hire, nor will it in any way influence the NIRC’s determination of your qualifications for any position applied for. This information is strictly confidential.
 
                           SOURCE OF REFERRAL
1.    Name                                                       Community
Address                                                        Organization                                                                
Zip                                                 Newspaper                                                                  
Position(s) Applied for:                               NIRC Employee                                                          
                                                       Walk In                                                                      
                                                       College                                                                       
Date of Birth (Optional)                              Other                                                                          
 
 
Circle the one number below which is appropriate.
 
Female      Male
1          0      WHITE, (not of Hispanic origin): A person having origins in any of the original people of Europe, North Africa or the Middle East.
3          2      BLACK, (not of Hispanic origin): A person having origins in any of the Black racial groups of Africa.
5          4      AMERICAN INDIAN OR ALASKAN NATIVE. A person having origins in any of the original peoples of North America, and who maintain cultural identification through tribal affiliation or community recognition.
7          6      ASIAN OR PACIFIC ISLANDER. A person having origins in any of the original peoples of the Far East, Southeast Asia, the Indian Subcontinent, or the Pacific Islands. This area includes, for example: China, Japan, Korea, the Philippine Islands and Samoa.
9          8      HISPANIC. A person of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish Culture or origin regardless of race.
2. Should you want to be considered for protected class employment as a handicapped person, you may want to indicate the category which would qualify you by circling the appropriate number below.
 
a.)   Blindness/Visual Impairment            f.)   Nervous System Disorder
b.)   Deafness/Hearing Impairment            g.)   Respiratory Related Impairment
c.)   Orthopedic Impairment               h.)   Loss of Limbs
d.)   Cardiovascular Disorder               i.)   Other (Specify)                                                   
e.)   Mental Disorder                                                                                           
 
3. Veteran   Yes      No            JOB CATEGORY:                                                     
 
4. ?????                     JOB GROUP:                                                            
 
(Ord. CRB 84-44, passed 9-14-1984)