Corporate Services, Inc.
208 Kishwaukee St. · Rockford, IL 61104
(p) (815) 962-8367 · (f) (815) 962-0940
www.corpserv.com

Race/Gender Information

Please remember that should you choose to provide this information, neither your choice to deny this information nor the information you provide will have any bearing on your eligibility for any open positions Corporate Services, Inc. has available. In addition, in the interest of full disclosure, we may be required to share this information with any federal, state, and/or local government agencies upon the request of those federal, state, and/or local government agencies. Submitting this information provides your consent to these requests.

We value your privacy and Corporate Services, Inc. will not share the information you provide with anyone except federal, state, and/or local government agencies with whom we are required to share this information, the time of which is determined by the federal, state, and/or local government agencies.

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Gender

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White Black or African American Hispanic or Latino Native American or Alaska Native Asian Native Hawaiian or other Pacific