Demographic Information 1

Demographic Information - Initial (screen 4)_030316.pdf

Attorney General's Honors Program and Summer Law Intern Program Electronic Applications

Demographic Information 1

OMB: 1105-0030

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Demographic Information

* Information & Instructions
* Eligibility & Personal Information
Demographic Information
* Military Service & Veterans' Preference

Provision of this information is voluntary. There are no adverse consequences if you do not respond.

* Non-Legal Education (Undergraduate/Graduate)
* Legal Education (JD / LLM) & Transcripts

The Department of Justice's greatest asset is its dynamic and diverse workforce, and we welcome and
encourage qualified individuals with disabilities, including individuals with targeted disabilities, to apply for
employment. The Department of Justice is firmly committed to satisfying its affirmative obligations under the
Rehabilitation Act of 1973 to ensure that persons with disabilities have equal opportunity to be hired and
advanced on the basis of merit.

* Post-Law School Activities

Self-identification of disability status will be used solely in accordance with the provisions of the Rehabilitation Act
of 1973, as amended, the Americans with Disabilities Act Amendments Act of 2008 (Pub. L. 110-325)(ADAAA),
and 29 C.F.R. Part 1630. The following disability disclosures will be kept confidential and will not be reflected on
your application, nor be disclosed to reviewers as a part of the standard review and selection process but will be
used for statistical and reporting purposes only.

* Employment

Do you:

* References

(1) have a physical impairment or mental impairment (psychiatric disability) that substantially limits one or more of
your major life activities as defined by 29 C.F.R. § 1630.2(i);

* Practice Area Interests
* Honors and Awards
* Professional Accomplishments / Languages
* Components/Offices of Interest
* Essays
Additional Information
Attach Proof Documents
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(2) have a record of such impairment; or
(3) are regarded as having such an impairment as defined by 29 C.F.R. § 1630.2(i).
Yes
No
Decline to answer
Gender
Male
Female
Decline to answer
Sexual Orientation and Gender Identity - Select all that apply

Do you consider yourself to be:
Heterosexual or straight
Gay or Lesbian
Bisexual
Transgender
Other
Decline to Answer
Race and National Origin Identification

Select the racial category or categories with which you most closely identify by checking the boxes. For equal
opportunity reporting purposes, data is aggregated - if you check more than one box, you will be reported in the
category "Two or More Races."
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Decline to answer
Ethnicity
Are you Hispanic or Latino (a person of Cuban, Mexican, Puerto Rican, South or Central American, or other
Spanish culture or origin, regardless of race)?
Yes
No
Decline to answer

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File Typeapplication/pdf
File Titlehttps://www.avueadstest.com/casting/application/control/freesty
Authordwillis
File Modified2015-07-29
File Created2015-07-29

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