Equal Employment Opportunity Self-Identification Form
This file is used by the Hardee County Board of County Commissioners to allow employees and applicants to voluntarily self-identify their race, ethnicity, gender, and other protected characteristics. It helps comply with equal employment opportunity and affirmative action regulations. Submission is voluntary and won't affect your employment status.
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How do I fill this out?
To fill out this form, start by reading the instructions carefully. Make sure to indicate your race, ethnicity, and gender as requested. Complete each section to the best of your ability, and sign and date the form.

How to fill out the Equal Employment Opportunity Self-Identification Form?
1
Read the instructions on the form.
2
Indicate your race, ethnicity, and gender.
3
Complete any additional required information.
4
Sign and date the form.
5
Submit the form as instructed.
Who needs the Equal Employment Opportunity Self-Identification Form?
1
Employees of Hardee County who wish to self-identify for record-keeping purposes.
2
Applicants applying for a position with the Hardee County Board of County Commissioners.
3
Human Resources personnel needing to keep records of employees’ demographics.
4
Individuals required to comply with equal employment opportunity regulations.
5
People who are updating their personal information with their employer.
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What are the instructions for submitting this form?
Please submit the completed EEO Self-Identification Form to the Hardee County HR Department at 412 West Orange Street, Suite #204, Wauchula, Florida 33873, via email to HumanResources@hardeecounty.net, or fax to (863) 773-2161. Make sure all required information is accurately filled out before submitting.
What are the important dates for this form in 2024 and 2025?
There are no specific important dates for this form in 2024 and 2025. Submission is voluntary and can be completed whenever applicable.

What is the purpose of this form?
The purpose of the EEO Self-Identification Form is to allow employees and applicants of the Hardee County Board of County Commissioners to voluntarily provide demographic information. This is part of efforts to comply with equal employment opportunity and affirmative action requirements. The information collected helps maintain accurate records of workforce diversity and demographics.

Tell me about this form and its components and fields line-by-line.

- 1. Race and Ethnic Identification: Indicate your race and ethnicity by selecting the group you belong to.
- 2. Gender: Select your gender or choose not to provide this information.
- 3. Name: Enter your full name.
- 4. Date: Provide the date when you completed the form.
- 5. Signature: Sign the form to confirm the information is accurate.
What happens if I fail to submit this form?
Failure to submit the EEO Self-Identification Form will not result in negative consequences. This form is voluntary.
- Incomplete Demographic Records: Your employer may have incomplete information about workforce diversity.
- Non-compliance Information: Lack of data may affect the accuracy of reports for compliance with equal employment regulations.
How do I know when to use this form?

- 1. New Employment: Use the form when starting a new job with the Hardee County Board of County Commissioners.
- 2. Updating Information: Use the form to update your demographic information if there are changes.
- 3. HR Requests: Submit the form when requested by the HR department for record-keeping purposes.
Frequently Asked Questions
How do I fill out the EEO Self-Identification Form?
Read the instructions carefully, indicate your race, ethnicity, and gender, complete the necessary fields, and sign and date the form.
Is filling out the EEO Self-Identification Form mandatory?
No, filling out this form is voluntary and will not affect your employment or application status.
Can I edit the EEO Self-Identification Form on PrintFriendly?
Yes, you can edit the form by clicking on the text fields and entering your information directly on PrintFriendly.
How do I sign the EEO Self-Identification Form on PrintFriendly?
Click on the signature field and use the provided tools to draw or upload your signature, then save and download the form.
How can I share my completed EEO Self-Identification Form?
After filling out and signing the form, click on the share button to generate a link or email the document, or download it for other sharing methods.
What information is required on the EEO Self-Identification Form?
You need to provide your race, ethnicity, gender, and any additional requested information, then sign and date the form.
Can I refuse to provide information on the EEO Self-Identification Form?
Yes, you can choose not to provide the information, and this will not affect your employment status.
Where do I submit the completed EEO Self-Identification Form?
Submit the form to the HR Department at 412 W. Orange Street, Suite #204, Wauchula, FL 33873 or via email to HumanResources@hardeecounty.net.
What happens if I provide incorrect information on the EEO Self-Identification Form?
Providing incorrect information may affect the accuracy of demographic records but will not have direct consequences on your employment status.
How do I save my edited EEO Self-Identification Form on PrintFriendly?
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