POE Applicant Affirmative Action Survey

As part of our application process, we ask that you complete our Affirmative Action Survey. This data is for statistical analysis and affirmative action purposes only. It is completely voluntary, and will be kept confidential.

Fields in bold must be completed.

Last Name*
Cell Phone Number*
Email*
Gender*
Female
Male
Race/Ethnic Group*
African-American
Asian
Caucasian
Hispanic
Native-American
Pacific Islander

To ensure delivery of a confirmation email to your inbox, please add suzanne.gronemeyer@stjude.org to your address book.