Diversity Data Request – Human Resources

Legal Name(s)*

Full Legal First Name(s) Full Legal Middle Name(s) Full Legal Last Name(s)

Preferred Name(s) (If different from above)

Preferred First Name(s) Preferred Middle Name(s) Preferred Last Name(s)

Gender Identification*

Gender Identification for Reporting Purposes**

*St. Olaf recognizes that many individuals do not identify their gender in terms of a male/female binary. For purposes of its IPEDS and other reporting, the College is federally required to report employees as either “male” or “female.” If you opt not to respond to this request, the College will make an educated estimation of a gender identification for IPEDS and other reporting purposes.

Male

Female

Prefer not to disclose

Race/Ethnic Identification (as defined by the Equal Employment Opportunity Commission)

1. Do you consider yourself:*

Hispanic/Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

Not Hispanic or Latino

Prefer not to disclose

2. In addition, select one or more of the following racial categories to describe yourself:*

American Indian or Alaska Native - A person having origins in any of the original peoples of North and South America (including Central America) who maintains cultural identification through tribal affiliation or community attachment.

Asian - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

Black or African American - A person having origins in any of the black racial groups of Africa.

Native Hawaiian or Other Pacific Islander - A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

White - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Prefer not to disclose

Other