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Office of Equity and Diversity
303 Administration Building
University of TN at Martin
Martin, TN 38238
Phone: (731) 881-3505
Fax: (731) 881-3507
Equity and Diversity Officer/Title VI Coordinator: Gail M. Stephens, Ed.D.
equityanddiversity@utm.edu


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The University of Tennessee at Martin Affirmative Action Identification Form

 

The University of Tennessee at Martin is committed to equal employment opportunity and affirmative action.  Therefore, the University does not discriminate against any employee or applicant for employment on the basis of race, color, religion, sex, national origin, disability, age, or being a veteran with a disability or veteran of the Vietnam Era.  That means the University complies with all Federal and State Laws, including, Title VI and Title VII of the Civil Rights Act of 1964; Title IX of the Education Amendments of 1972; Section 504 of the Rehabilitation Action of 1973; the Americans with Disabilities Act of 1990; and Age Discrimination in Employment Act.

 

As part of the University's affirmative action goals and reporting requirements, all applicants seeking employment are invited to answer the questions listed below.  Completion of this form is strictly voluntary.

 

If you would rather fill out a paper form and mail it, you can download the form here: PDF Version and mail it to:

Dr. Ann Duncan
Equity and Diversity Officer
University of Tennessee at Martin
Gooch Hall, Room 240F
Martin, TN 38238

 

Applicant Information

Applicant's Name:
Applicant's E-mail:
Position(s) applying for:
(Please list the title of the position as it appeared in the job announcement.)
Department:
Source:
(Source from which you found out about this position.)
Race:

Caucasian
African American
Hispanic
Asian or Pacific Islander
American Indian
Multiracial
Gender:

Male
Female
Vietnam Era Veteran:
(Feb 28, 1961 - May 7, 1975)

Yes
No

 

In order to be in compliance with the Office of Federal Contract Compliance Program, all persons with disabilities will be given an opportunity to self-identify following employment with the University.

 

Clicking "Submit" will submit this form to:

Dr. Ann Duncan
Equity and Diversity Officer
University of Tennessee at Martin
Gooch Hall, Room 240F
Martin, TN 38238

UTM IS AN EQUAL OPPORTUNITY INSTITUTION


The University of Tennessee at Martin foes not discriminate on the basis of race, sex, color, religion, national origin, age, disability, or veteran status in provision of education opportunities or employment opportunities and benefits.
The University does not discriminate on the basis of sex or disability in the education programs and activities which it operates, pursuant to the requirements of Title VI of the Civil Rights Act of 1964, as codified in 42 U.S.C. 200D; Title IX of the Education Amendments of 1972, Pub. L. 92-318; Section 504 of the Rehabilitation Act of 1973, Pub. L. 93-112; the Americans with Disabilities Act of 1990, Pub. L. 101-336; and The Age Discrimination in Employment Act. This policy extends to both employment by and admission the the University.


Inquiries concerning Title VI, Title IX, Section 504, the Americans with Disabilities Act, and the Age Discrimination in Employment Act should be directed to the Equity and Diversity Officer 240F Gooch Hall, UTM, Martin, TN 38238, (731) 881-7202. Charges of violation of the above policy should be directed to the Equity and Diversity Officer.

Rev. 01/09/02