This is a form for requesting ethnicity and race data from job applicants, using the new categories to be used in the 2000 Census.
OMB has recently renewed approval of this form through January 2003.
The Applicant Background Survey form, DI-1935 is provided in several formats:
- As a standard HTML File for normal viewing with your browser.
- As a PDF File if you need to print an "exact" copy. If you have never used this format, please refer to our Adobe Acrobat Reader page.
The DI-1935 is in compliance with the new government Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, excerpted from the
September 30, 1997Federal Register.