Lang Form PDF Details

In the realm of employment and diversity programs within the Louisiana National Guard, the importance of voluntary information sharing about race and ethnicity takes center stage through the Lang Form. This document, designed with sections to meticulously gather personal and position-related details from applicants, serves as a cornerstone for enhancing diversity and inclusiveness within the Guard. It operates under the authority of 42 USC Section 2000e-16, emphasizing that providing this sensitive information is completely voluntary and bears no weight on the employment decisions. Moreover, it addresses the collection of Social Security Numbers under Executive Order 9397, ensuring applicants that their submission is part of a standard, orderly process for handling personnel records, without affecting their employment status. The form requires applicants to acknowledge their understanding of the voluntary nature of this information before proceeding to detailed questions about their racial and ethnic identities. This careful approach not only aids in the production of summary statistics and analytical studies aimed at fostering a diverse workforce but also assures candidates that their personal information is handled with the utmost respect and confidentiality. By requiring a signature at the end, the form solidifies the applicant's acknowledgment of the accuracy of the information provided, highlighting the serious implications of any falsehoods. The Lang Form, therefore, stands as a testament to the Louisiana National Guard's commitment to diversity, equity, and respect for individual identity within its ranks.

QuestionAnswer
Form NameLang Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names8 335 form, 335 8, form 335 8, understand lang 335 pdf

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LOUISIANA NATIONAL GUARD RACE AND ETHNICITY IDENTIFICATION

(PRINT OR TYPE EACH SECTION CLEARLY)

PRIVACY ACT STATEMENT

Race and Ethnicity information is requested under the authority of 42 USC Section 2000e-16. Providing this information is voluntary and has no impact on your employment status. This information is gathered in conjunction with diversity programs within the Louisiana National Guard. It may also be used to locate individuals for personnel research or survey response and in the production of summary descriptive statistics and analytical studies in support of the function for which the records are collected and maintained, or for related workforce studies. Social Security Number (SSN) is requested under the authority of Executive Order 9397, which requires SSN be used for the purpose of uniform, orderly administration of personnel records. Providing this information is voluntary and failure to do so will have no effect on your employment status.

A. APPLICANT INFORMATION

NAME (Last, First, Middle Initial)

SOCIAL SECURITY NUMBER

DATE OF BIRTH (Month and Year)

B. POSITION INFORMATION

POSITION APPLIED FOR (pay plan, series, grade, manning number)

TVA NUMBER

C. ACKNOWLEDGEMENT

Please read and initial the statements below before proceeding to Section D

STATEMENT

INITIALS

1.I understand that I DO NOT have to provide the information in Section D.

2.I understand that providing the information requested in Section D is voluntary.

3.I understand that providing the information in Section D below has no impact on my selection or non-selection for a vacancy.

D. RACE AND ETHNICITY

CHECK ONLY ONE OF THE STATEMENTS BELOW

I agree to furnish the Louisiana National Guard with information regarding my race and ethnicity. (proceed to Question 1)

I DO NOT agree to furnish the Louisiana National Guard with information regarding my race and ethnicity. (proceed to Section F)

Question 1

Are you Hispanic or Latino?

Yes

No

 

 

 

(A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.)

 

Question 2

Please select the racial origin(s) with which you most closely identify by placing an “X” in the

 

appropriate box. Check as many as apply.

 

 

 

 

 

 

 

 

RACIAL ORIGIN

DEFINITION OF ORIGIN

 

(check as many as apply)

 

 

 

 

 

 

 

American Indian or Alaska Native

A person having origins in any of the original peoples of North and South America (including

 

Central America), and who maintains tribal affiliation or community attachment.

 

 

 

 

 

 

 

 

 

 

A person having origins in any of the original peoples of the Far East, Southeast Asia, or the

 

Asian

 

Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea,

 

 

 

Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

 

Black or African American

A person having origins in any of the black racial groups of Africa.

 

 

 

 

 

Native Hawaiian or Pacific Islander

A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other

 

Pacific Islands.

 

 

 

 

 

 

 

 

White

 

A person having origins in any of the original peoples of Europe, the Middle East, or North

 

 

Africa.

 

 

 

 

 

 

 

 

 

 

F. SIGNATURE

I certify that the information contained in this form is true and accurate. I understand that any false claims or statements have the potential to prevent a candidate from being considered for employment with, and/or nullify the selection or appointment to a position within, the Louisiana National Guard

1.NAME (Last, First, MI)

2. SIGNATURE

3. DATE

LANG FORM 335-8 (20091001)