EEO Policy Acknowledgment Form
Please complete this form to confirm your review and acknowledgment of the Equal Employment Opportunity (EEO) Policy. All fields are required for policy compliance.
Full Name
*
First Name
Last Name
Work Email Address
*
example@example.com
Employee ID
*
Job Title
*
Department
*
Please Select
Human Resources
Engineering
Sales
Marketing
Finance
Operations
Customer Support
Other
Office Location
*
Manager/Supervisor Name
*
Date of Acknowledgment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Have you reviewed and understood the EEO Policy?
*
Yes, I have reviewed and understood the EEO Policy.
No
Electronic Signature (type your full name to acknowledge)
*
Submit Acknowledgment
Should be Empty: