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EQUAL EMPLOYMENT OPPORTUNITY DATA FORM

EOE Form Page

IMPORTANT - To All Applicants: To enable us to meet government reporting regulations, Miller Environmental Group Inc. requests that you complete this personal data form. Information will be used for government reporting purposes and will be detached and kept separate from your personnel file. Any information that you choose to provide will not be considered by Miller Environmental Group Inc. for employment purposes and will be treated as personal and confidential. Your voluntary cooperation will be appreciated.

Miller Environmental Group Inc. is committed to providing equal opportunity employment and does not tolerate discrimination and/or harassment in the workplace. It is our policy to maintain a working environment free from discrimination and sexual harassment. Miller Environmental Group Inc. prohibits discrimination in compliance with title VII of the federal Civil Rights Act of 1964 and all applicable State laws, as well as, all forms of sexual harassment. This includes, but is not limited to, discrimination based on sex, creed, national origin, disability, color, marital status, citizenship status, sexual orientation, race, and age. Sexual harassment includes but is not limited to harassment by Professionals, Contractors, employees, vendors, applicants, visitors, or any other person met on company property or in the course of conducting company business through conduct or communication. All employees should expect to work in an atmosphere free of discrimination and unwanted sexual overtures or any unwelcome behavior that is personally offensive, which debilitates morale, or which otherwise interferes with working effectiveness. All employees are expected to act professionally and use good judgment at all times. This policy applies to all employees of the company at all locations. Miller Environmental Group, Inc. recognizes that the long-term success of our operations depends on the individuals that make up our team. Miller promotes fair and equitable management practices that respect the worth and dignity of all employees. While simultaneously working to ensure that the company complies with all applicable employment related laws and policies.

We currently employ over 145 professionals in areas of Geology, Administration, Drivers, Laborers, Marketing, Mechanics, Engineers, Training, Accounting, etc. We are an Equal Opportunity Employer and committed to fostering an environment conducive to the attraction and retention of qualified, talented employees. By employing the best most qualified individuals we will continue to provide superior value and service to our customers while building a strong successful company. MEG offers a comprehensive benefits package and a competitive salary. We have established comprehensive training and development programs as well as, a Health and Safety Plan for all personnel. In addition, we have incorporated policies and procedures designed to protect the welfare of our employees and clients including but not limited to; Anti sexual harassment and discrimination, professional conduct, a drug free workplace, pre-employment drug and alcohol screening, background and motor vehicle pre employment checks, Information and communication monitoring, Ethics policy, and random DMV monitoring and drug and alcohol testing, as well as a comprehensive new hire orientation. We believe in providing the tools necessary for success.

First Name *

Middle Initial

Last Name *

Gender

Male

Female

Position applying for:

Location:

1. Are you Hispanic or Latino (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race)?

Yes

If you checked “Yes” to Question 1, please do not proceed further. If you checked “No,” please proceed to Question 2.

2. Do you identify with Two or More Races (Not Hispanic or Latino) as defined below?

Yes

If you checked “Yes” to Question 2, please do not proceed further. If you checked “No,” please proceed to Question 3.

3. Please select one of the following race designations as defined below.

White (Not Hispanic or Latino)

Black or African American (Not Hispanic or Latino)

Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)

Asian (Not Hispanic or Latino)

American Indian or Alaska Native (Not Hispanic or Latino)

You can also choose NOT to self-identify:

I choose not to self-identify gender, race, or ethnicity.

I choose not to self-identify

Definitions of Race Designations

White (Not Hispanic or Latino) - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Black or African American (Not Hispanic or Latino) - A person having origins in any of the black racial groups of Africa.

Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) - A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

Asian (Not Hispanic or Latino) - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

American Indian or Alaska Native (Not Hispanic or Latino) - A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.

Two or More Races (Not Hispanic or Latino) - All persons who identify with more than one of the above five races.

Wait, you’re not done yet, please continue to the next page to submit your letter of interest and paste your resume.