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AUTHORIZATION FOR PERSONNEL EVALUATION RELEASE OF INFORMATION AND RELEASE AND HOLD HARMLESS AGREEMENT

First Name: Age:
Sex: Male Female
Last Name: Race:
Address: Education:
City: Company:
State: ID Number:
Zip: Hiring Manager:
   
NOTE: Executive Group requests your assistance in answering the questions related to age, sex and race which are included to document compliance with Federal and State regulations. These answers are not transmitted to the employer nor will they in any way affect the information used in the hiring process, rather they are used to keep information on the GROUP of people taking the test and to ensure that there is no disproportionate impact on any protected group.


 

 
80 E US Hwy 6 Valparaiso, IN 46383 l Phone: 219-477-6378 l E-mail: Assessment@theeg.com Privacy Policy