McMurry Ready Mix

Affirmative Action Voluntary Information

Completion of this form is voluntary. The information gathered herein is to be used for federal and state reporting purposes only and not for interview and/or hiring purposes.

McMurry Ready Mix Co. considers all applicants without regard to their race, color, religion, sex, national origin, disability or veteran/military status. In an effort to comply with state and federal recordkeeping requirements, we invite you to complete this applicant data survey. Providing this information will in no way affect your application status as an employee. This survey will not be a part of your official application.

Sex

Male
Female

Race

African-American
Hispanic
American Indian or Native Alaskan
Asian or Pacific Islander
Caucasian

Military Status

Are you a memeber of the National Guard or Reserves?
- Yes
- No
Are you a veteran of the military?

If you answered yes, please check the applicapable box:

Pre-Vietnam Era Veteran?
Vietnam Era Veteran?
Post-Vietnam Era Veteran?
Gulf War Veteran?
Disabled Veteran? (any era)

Handicap Status

Do you have an impairment that would qualify you for reasonable
Accommodation under the Americans with Disabilities Act?

Signature:
Date:

Download an Affirmative Action Voluntary Information Sheet

If you are having trouble completing the on-line Affirmative Action Voluntary Information please feel free to download this version of the application in a PDF format. then, you can print it out, fill it out and either fax or mail it to us. If you have any questions please call us.
Click here to downlaod the Affirmative Action Voluntary Information form here.