As Part of the Valparaiso University application process, complete Section A Below
SECTION A - GENERAL INFORMATION
Last: First: MI:
Position Applied For:
Valparaiso University is an Equal Opportunity Employer and is obligated to comply with applicable government record keeping, reporting and other legal requirements. Periodic reports are made to the government to report certain information. It is a requirement of Valparaiso University to solicit the information indicated below, #1 through #4. Your responses are voluntary and your cooperation in providing the information is appreciated. Inclusion or exclusion of any data will not affect any employment decisions.
Once you enter your information, please mail the form to the Affirmative Action Officer, Office of Human Resource Services, 1700 Chapel Drive, Valparaiso, IN 46383 or fax to 219-464-6887.
SECTION B - GENDER/RACE/ETHNICITY/VETERAN