Diversity & Equity

To the Applicant:

Thank you for your interest in employment with Central Connecticut State University. Your cover letter and resume have been forwarded to the Search Committee for review and further action regarding your candidacy.

In order to help us properly complete the recruitment process, please fill out the information requested and submit it to us as soon as possible.

The information you are asked to provide is based on state requirements and will be used to record applicant flow data and to determine effective methods of advertising for the University.  This information will be used only in conformance with legal requirements. CCSU aggressively pursues a program of equal employment and education opportunity and affirmative action.
Please Complete:
Salutation   Last Name First Name M.I.
Search Number:
Position Applied for:
Race:

Black/African American           Gender: Female Male
    Asian/Pacific Islander           Disabled: Yes No
White           Veteran: Yes No
Hispanic/Latino           Disabled Veteran: Yes No
Native American/Alaskan Native
   
How did you hear about this position?
Chronicle of Higher Education Professional Society/Association
Professional Journal/Newsletter Referral Agency
Ethnic Media or Women's Media Newspaper Advertisement. 
College/University Placement Office Which paper?
College/University Academic Department Word of Mouth (Friend/ Colleague)
    Other: