State of Wisconsin
Application for State Employment - Instructions - page 4 of 4
OSER-DMR S-38 (rev. 06- 10)
Wis. Stats. 230.16
7. GENDER - Check only one box.
8. RACE/ETHNICITY - Check only one box using the following definitions:
Black--Not of Hispanic origin: All persons having origins in any of the b lack racial groups of Africa.
Asian or Pacific I s lander: All persons having origin s in any of the original peoples of the Far East, Southeast Asia, the
Indian Sub continent, or the Pacific Islands.
American Indian or Alaska Native
: Persons descending from any of the original peoples of North America who possess ¼
degree of docu m e nt ed tribal d escen dancy or are enrolled with a federally or state recognized tribe, or are recognized by a
federally or state recognized tribe as American Indians for state affirmative action purposes.
: All persons of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish culture or origin,
regardless of race.
White--Not of Hispanic origin
: All persons having origins in any of the original p eoples of Europe, North Africa, or the
Gender and race/ethnicity information is used for equal employment opportunity/affirmative action (EEO/AA) purposes only. This information
is confidential and is retained by state human resources professionals. If you do provide this information, you may be eligible for further
consideration of job opportunities through the State of Wisconsin EEO/AA Plan.
9. EDUCATION LEVEL
- Check only one box on the application . Ind icate your single highest level of educatio n completed.
10. HOW DI D YO U FI ND OUT AB O UT THI S J OB?
Please identify the source(s) of information that led you to apply for this vacancy. Use the check boxes on page 2 of the
11. ACTIVE M ILIT ARY DUTY
If you are an active military duty member and unable to test at the regularly scheduled exa m centers, complete this section
along with the rest of the required application information, and return to the Office of State Employment Relations; Attention
Exam Administr a tion Coordinator; P.O. Box 7855; Madison, WI 53707-7855.
12. CERTIFICATION STATEMENT
Your application must be signed in order to process the application.
Thank you for your interest in Wisconsin State Government employment. Wisconsin wants to find the best qualified people
available to serve its citizens. Although everyone who applies cannot be hired, your applicatio n will be given every consid eration.
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