Equal Employment Opportunity

Applicant Data Record

To help us comply with legal requirements, we request your cooperation in providing the following information. Your participation is voluntary and will be kept confidential. This sheet will be removed from your application and will not in any way affect your possibilities for employment.

Today's Date *
Positon Applying For *
First name *
Last name *
E-Mail Address *
Please select the appropriate Gender and appropriate Ethnicity/Race that apply to you
Gender *



ProfitStaff EEOC Statement

ProfitStaff LLC is an equal opportunity employer, and its employment practices conform to state and federal civil rights laws which prohibit discrimination in regard to race, color, religion, age, national origin, citizenship status (except as required by law), gender, gender identity, sex, sexual orientation, genetic information, physical or mental disability, disabled veteran, Vietnam era veteran status, marital status, other non-job-related characteristics or any other category protected by U.S. federal, state, or local law.