UMB Applicant Affirmative Action Information Request Form

Dear Applicant:

In regard to your recent application for employment, please complete the information below and submit. The information is requested for government reporting requirements and will be used solely in connection with our affirmative action efforts.

Race:
Sex:
Referral Source:
Fields marked with * are required.

The Student Right-to-Know and Campus Security Act (Public Law 101-542), signed into federal law November 8, 1990, requires that the University of Maryland, Baltimore make this information available to current employees and applicants for employment.  You may access this information by using the following link.  Click here to access this information.