Applicant Information Survey
Thank you for your application for employment with Stony Brook University.
Stony Brook University is an Equal Opportunity and Affirmative Action employer and educator. Qualified applicants are considered for employment without regard to race, color, religion, national or ethnic origin, age, genetic information, sex, creed, marital status, gender identity, sexual orientation, disability, veteran or military status.
As a government contractor, Stony Brook University is required to request and maintain data on applicants to ensure our compliance with EEO/AA laws and regulations. In our effort to comply, we invite you to voluntarily self-identify your information requested below. Completion of this form is voluntary and in no way affects the decision regarding your employment opportunity. The information provided will be held in the strictest confidence.
Note: please make sure you include the information requested below:
Reasonable Accommodation Notice
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternative format, using a sign language interpreter, or using specialized equipment.
i Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/offcp.
PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.
Information for Requesting Information About An Accommodation
For Information about reasonable accommodation procedures: http://www.stonybrook.edu/commcms/oide-accessibility
Stony Brook University has appointed the following individuals as the official responsible for processing request for reasonable accommodation from applicants and employees with disabilities:
|Stony Brook University, Stony Brook Medicine, Long Island State Veterans Home (LISVH), and Research Foundation ADA Specialist|
Name: Paulene K. Toussaint
Phone: (631) 632-6280
Fax: (631) 632-9428