3000-342-314 (R 11/12) WASHINGTON STATE PATROL TROOPER CADET APPLICATION 2 D<strong>is</strong>t Detach
WASHINGTON STATE PATROL TROOPER CADET APPLICATION 3000-342-314 (R 11/12) EQUAL OPPORTUNITY EMPLOYER The policy of the <strong>Washington</strong> <strong>State</strong> <strong>Patrol</strong> <strong>is</strong> to recruit and provide equal employment opportunities <strong>for</strong> all applicants. The in<strong>for</strong>mation requested on th<strong>is</strong> <strong>for</strong>m <strong>is</strong> voluntary and <strong>is</strong> only used <strong>for</strong> reporting affirmative action in<strong>for</strong>mation to the state and federal government. Th<strong>is</strong> in<strong>for</strong>mation will be kept separate from <strong>your</strong> application and will not be a part of <strong>your</strong> personnel file. Name Male Female Race/Ethnicity In<strong>for</strong>mation (Check all that apply) American Indian or Alaskan Native (AI/AN) – A person having origins in any of the original peoples of North and South America (including Central America) and who maintains a tribal affiliation or community attachment. Asian (A) – A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, <strong>for</strong> example, Cambodia, China, India, Japan, Korea, Malaysia, Pak<strong>is</strong>tan, the Philippine Islands, Thailand, and Vietnam. Black/African American (B) – A person having origins in any of the Black racial groups of Africa. H<strong>is</strong>panic (H) – H<strong>is</strong>panic origin includes all persons of Mexican, Puerto Rican, Cuban, Central, or South American, or other Span<strong>is</strong>h culture or origin, regardless of race. It does not include persons from Portuguese speaking cultures such as Portugal or Brazil. Native Hawaiian/Pacific Islander (NH/PI) – A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands. White/Caucasian (W) – A person having origins in any of the original peoples of Europe, the Middle East, or North Africa. Primary Race/Ethnicity With which Race/Ethnicity do you primarily identify? (Th<strong>is</strong> in<strong>for</strong>mation <strong>is</strong> voluntary and <strong>is</strong> used <strong>for</strong> reporting affirmative action in<strong>for</strong>mation.) 3 Unknown