Form FS-NRS-1700-1 NRS Outreach Opportunity Questionnaire

Outreach/Ethnicity Questionnaires

FS-NRS-1700-1 Outreach_Opportunity_Questionnaire 7 10

Questionnaires

OMB: 0596-0207

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USDA Forest Service FS-NRS-1700-1 (07/2010)

OMB 0596-0207 (Expiration xx/20xx)

OUTREACH OPPORTUNITY QUESTIONNAIRE

Response is optional


  1. Were you provided with helpful information about Forest Service opportunities, careers, and programs?

Yes; No


  1. Did you receive the information you were seeking?

Yes; No


  1. Were procedures for applying for jobs with the Forest Service described clearly and simply?

Yes; No


  1. Have you applied for any Forest Service positions through the following venues?

USA Jobs1: Yes; No

Avue digital services2: Yes; No

Other: Youth Conservation Corps, Volunteer program, etc.? Please list:


________________________________________________________________


________________________________________________________________


________________________________________________________________


5. Ethnicity (select one):

Hispanic or Latino

Not Hispanic or Latino


6. Race (select all that apply):

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or other Pacific Islander

White

BURDEN AND NONDISCRIMINATION STATEMENTS

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0207. The time required to complete this information collection is estimated to average 10 minutes/hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, and marital or family status. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at 202-720-2600 (voice and TDD).

To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

1 The Official Job Site of the United States Federal Government: http://www.usajobs.opm.gov/

2 Avue Central is a federal employment service provided free to the public: https://www.avuecentral.com/

File Typeapplication/msword
File TitleOUTREACH OPPORTUNITY QUESTIONNAIRE (
AuthorFSDefaultUser
Last Modified Bycmwoolley
File Modified2010-07-12
File Created2010-07-12

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