EEAC's Sample Race, Ethnicity, and Gender Self-Identification Form


Federal regulations enforced by the Equal Employment Opportunity Commission (EEOC) and the Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) require that certain employers be able to identify the race, ethnicity and gender of each employee and, in the case of covered federal contractors, the race, ethnicity and gender of each applicant as well. 

These regulations do not restrict an employer’s ability to solicit and collect race, ethnicity and gender information from applicants or employees, nor do they specify how these data must be collected.  While providing applicants and employees the opportunity to self-identify race, ethnicity and gender is not technically required, it is EEOC’s and OFCCP’s “preferred” method of collecting this information, and the method used by virtually all employers.

The Equal Employment Advisory Council (EEAC) is pleased to offer our Sample Race, Ethnicity and Gender Self-Identification Form, which can be easily modified to suit each company’s needs.  The sample form, available to the public as a free Microsoft Word-formatted download, is suitable for use as a pre-offer, post-offer, or current employee invitation, depending on your company’s needs.

EEAC is a company-based membership association of hundreds of employers. To learn more about membership in EEAC, please see

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Center for Workplace Compliance | 1501 M Street, NW Suite 1000 | Washington, DC 20005
Tel: 202.629.5650 | Fax: 202.629.5651