Applicant Survey Form

Please read carefully:

As an affirmative action employer, we must monitor our equal employment opportunity and affirmative action program, and report the results to government agencies.  Please help us gather this information by identifying your sex, race or ethnicity, and disability status on this form.

Providing this information is completely voluntary.  If you choose not to provide some or all of this information, you will not be subject to any negative or adverse treatment.

This information you provide will be used only to monitor our compliance with equal opportunity laws and regulations, and for no other purpose.  When we receive this form, we will immediately place it in a confidential file separate from your application.  If you wish, you may mail this form to us in an envelope to this address:  Westwood Professional Services, 7699 Anagram Drive, Eden Prairie, MN 55344.