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Personal History Statement Applicant Form and Instructions Revised May 2018APPLICATION FOR EMPLOYMENT The City of Virginia is an Equal Opportunity/Affirmative Action Employer. It is our policy to
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Obtain the statement of affirmative action form from the appropriate institution or organization.
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Read and understand the instructions provided on the form.
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Fill in your personal information such as name, contact details, and any required identification information.
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Provide information about your affirmative action policies and initiatives, if applicable.
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Who needs statement of affirmative action?

01
Employers who are required to comply with affirmative action regulations set forth by the government.
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Organizations seeking to demonstrate their commitment to diversity and inclusion in the workplace.
03
Government agencies and contractors who must submit affirmative action plans as part of their compliance requirements.
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The statement of affirmative action is a document outlining an organization's efforts to promote diversity and equal employment opportunities.
Federal contractors and subcontractors are required to file statement of affirmative action.
Statement of affirmative action can be filled out by providing information on recruitment, hiring, promotions, and training practices.
The purpose of statement of affirmative action is to ensure equal employment opportunities and promote diversity in the workplace.
Information such as workforce demographics, hiring practices, and outreach efforts must be reported on statement of affirmative action.
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