AA/EO Data Request Card
As an affirmative action/equal opportunity institution (AA/EO), Georgia Southern University complies with federal regulations requiring the institution to monitor and produce data pertaining to gender, ethnicity, race, veteran, and disability status of applicants for faculty positions. The AA/EO Data Request Card is the mechanism for collecting these data. While completion of the Data Request Card is voluntary, it is hoped that all applicants will take a moment to respond. All information reported is kept separate from the employment application and retained in the Provost's Office. In compliance with AA/EO regulations, the reported data will not be used in any hiring decisions or any personnel actions subsequent to employment. Thank you for your time and interest in Georgia Southern University!
Email address *
Faculty Search Number *
Your answer
Position Title *
Your answer
Applicant's First Name *
Your answer
Applicant's Middle Name
Your answer
Applicant's Last Name *
Your answer
Applicant's Gender *
Non-Resident Alien *
Applicant's Ethnicity *
For Non-Hispanics Only:
Applicant's Veteran Status in the United States *
Applicant's Disability Status in the United States *
Please indicate where you found this position advertised *
Georgia Southern University seeks to recruit individuals who are committed to working in diverse academic and professional communities and who are committed to excellence in teaching, scholarship, and professional service within the University and beyond. The names of applicants and nominees, vitae, and other non-evaluative information may be subject to public inspection under the Georgia Open Records Act. Georgia Southern University is an Affirmative Action, Equal Opportunity institution. Individuals who need reasonable accommodations under the ADA to participate in the search process should contact the Associate Provost.

Provost's Office
P.O. Box 8022
Georgia Southern University
Statesboro, GA 30460-8022

A copy of your responses will be emailed to the address you provided.
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