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EEO Self Identification for Placements

You were recently offered a position and placed at Guidewell. OpTech invites you to self-identify gender, race and veteran status. Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for EEO-1 reporting purposes only and will be kept separate from all other personnel records only accessed by OpTech’s Human Resources Department.


Please complete the form below. If you choose not to self-identify your race/ethnicity at this time, the federal government requires OpTech to determine this information by visual survey and/or other available information. As an employer with an Affirmative Action Program, we comply with government regulations and affirmative action responsibilities where they apply. As part of OpTech’s effort to assure equal employment opportunity, the following information is collected to help us monitor our hiring practices.

Veteran Status(Required)
Disability Status(Required)
This field is for validation purposes and should be left unchanged.