Voluntary applicant survey

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Jennie-O Turkey Store, Inc., Jennie-O Turkey Store Sales, LLC, Jennie-O Turkey Store International, Inc, and West

Central Turkeys, LLC. are Affirmative Action/Equal Opportunity Employers. The information requested below will be used for purposes of our Affirmative Action Program.

Providing this information is voluntary and your application will not be adversely affected if you respond or decline to respond. This data will be kept confidential and will only be used in accordance with the provisions of applicable laws, executive orders, and regulations.


Name Date

Position Applied For:
Check one:  Male (M) Female (F)

Section I.

1. Are you Hispanic or Latino?

Check one: Yes (4) (If checked yes, you are done.)  No (If checked no, go to Section II)

A person is Hispanic or Latino if he or she is of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish Culture or origin regardless of race.

Section II.

2. In what Racial Category in the below list do you consider yourself to belong?

Check all that apply: White (0) (Not Hispanic or Latino) Black or African American (1) (Not Hispanic or Latino)

 Asian (2) (Not Hispanic or Latino)

American Indian or Alaskan Native (3) (Not Hispanic or Latino)
Native Hawaiian or Other Pacific Islander (5) (Not Hispanic or Latino)
If you checked Two or More Races above (6), you are requested to list one of these to which you most closely identify.      .
If you choose not to self identify your race or ethnicity, check this box.

Return to ATTN: EEO Coordinator, Jennie-O Turkey Store, Inc., PO Box 778, Willmar, MN 56201


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