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VOLUNTARY SELF-IDENTIFICATION THIS INFORMATION WILL BE KEPT CONFIDENTIAL AND SEPARATE FROM YOUR PERSONNEL FILE. PLEASE PRINT Name: Date completed: RACE/ETHNICITY: Please check one of the descriptions
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What is this information will be?
This information will be about....
Who is required to file this information will be?
Entities X, Y, and Z are required to file this information.
How to fill out this information will be?
To fill out this information, entities must follow the guidelines provided by the regulatory body.
What is the purpose of this information will be?
The purpose of this information is to....
What information must be reported on this information will be?
Entities must report....
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