Thank you for your interest in a position at UALR. In our effort to meet
federal and state guidelines UALR is required to collect Biographical data sheet
information from applicants.Completing the form is voluntary.
This form must be completed for each position for which you have applied.
Position number: *
Title of the job:
Department where job is located:
Last 5 digits of Social Security Number:
Date of birth:
Decline to disclose gender
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
American Indian or Alaskan Native
Two or more races
Military Veteran Status:
N/ASpecial Disabled VeteranOther Protected VeteranArmed Forces Service Medal VeteranVietnam-Era
Military Veteran Separation Date (MM/DD/YYYY):
Indicate regional location of job announcement:
To assist us in evaluating advertising effectiveness, please indicate how you learned of this vacancy:(100 character limit)
Contact HR-Recruitment (HR-Recruitment@ualr.edu)
for help with this form.
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