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Travis County Human Resources Management Department 1010 Lavaca Street 2nd Floor P. O. Box 1748 Austin TX 78767 512 854-9165 APPLICANT EEO STATISTICAL DATA FORM This information is used for statistical reporting to various regulatory agencies. I. Gender Male Female White Ethnicity Black Hispanic Please check only one Asian or Pacific Islander American Indian or Alaskan Native Other Signature Date R-4. Date of Application Position Title Name Last First Address Number Street Apt City State Zip...

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