About TU

Office of Diversity and Equal Opportunity

Optional Applicant Data Form

This data will be used for statistical purposes and shall not be used to illegally discriminate for or against anyone. Please complete all sections.

  1. Name:

  2. For which vacancy are you applying?

  3. How did you learn of this vacancy?

    A value is required.Minimum number of characters not met.Exceeded maximum number of characters.

  4. Please indicate your gender:

  5. Indicate Ethnic group:

  6. Indicate your Race:

    Expand/Collapse Ethnic and Race Description

  7. Voluntary Self-Identification of Disability:

    Form CC-305 OMB Control Number 1250-0005

    Why are you being asked to complete this form?

    How do I know if I have a disability?

    Blindness Autism Bipolar disorder
    Deafness Cerebral palsy Post-traumatic stress disorder (PTSD)
    Cancer HIV/AIDS Multiple sclerosis (MS)
    Diabetes Epilepsy Major depression
    Schizophrenia Muscular dystrophy Obsessive compulsive disorder
    Missing limbs or partially missing limbs Impairments requiring the use of a wheelchair Intellectual disability (previously called mental retardation)

    Reasonable Accommodation Notice

  8. Voluntary Self-Identification of Veteran Status:

    Towson University is a government contractor subject to the Vietnam Era Veterans' Readjustment Assistance Act of 1974 (VEVRAA), as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VERAA), which requires government contractors to take affirmative action to employ and advance in employment:

    1. disabled veterans
    2. recently separated veterans
    3. active duty wartime or campaign badge veterans
    4. Armed Forces service medal veterans

    These classifications are defined as follows:

    • A "disabled veteran" is one of the following:
      • A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or
      • a person who was discharged or released from active duty because of a service-related disability.
    • A "recently separated veteran" is any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.
    • An "active duty wartime or campaign badge veteran" is a veteran who served on active duty in the U. S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
    • An "Armed forces service medal veteran" is a veteran who, while serving on active duty in the U.S. military, ground, naval or air service participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

    Protected veterans may have additional rights under USERRA - the Uniformed Services Employment and Reemployment Rights Act. In particular, if you were absent from employment in order to perform service in the uniformed service, you may be entitled to be re-employed by your employer in the position you would have obtained with reasonable certainty if not for the absence due to service. For more information, call the U.S. Department of Labor's Veterans Employment and Training Service (VETS), toll-free at 1-866-4-USA-DOL.

    If you believe you belong to any of the categories of protected veterans listed above, please indicate by checking the appropriate box below. As a government contractor subject to VEVRAA, we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information provided will be used only in ways that are consistent with the Vietnam Era Veterans' Readjustment Assistance Act of 1974, as amended.

  9. Birthday:

    Towson University is an equal opportunity/affirmative action employer and has a strong institutional commitment to diversity. Women, minorities, persons with disabilities and veterans are encouraged to apply.




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