About Us News Locations Investors Governance Careers Contact Us  
 
Invitation to Identify for Affirmative Action Purposes
Candidate Data
Protection Standards
Our organization is committed to the employment and advancement of minorities, females, individuals with disabilities, and veterans. If you fall into one of these protected classifications, we invite you to identify yourself and receive coverage under our company's Affirmative Action Plan. You may inform us of your desire to benefit under the program at this time or any time in the future.

Completion of this form is voluntary and in no way affects the decision regarding your employment opportunity. The information provided will be held in the strictest confidence, will be maintained in a separate file, and will not be used in a manner inconsistent with the Acts.
Applicant Name:
Position Applied For:
Date:

PLEASE CHECK ONE:

Male
Female

INDICATE THE APPROPRIATE RACE/ETHNIC GROUP:

White
Asian/Pacific Islander
Black/African American
Hispanic or
Latino
American Indian or Alaskan Native

HOW WERE YOU REFERRED TO THIS JOB:

Advertisement
School/College
Employee Referral
State Job Service
Employment Agency
Temporary Agency
Government Agency
Walk In
Recruiter
Other (Please Specify)


Regal Beloit Corporation
Corporate Office
200 State Street
Beloit, Wisconsin 53511 - 6254
Phone: (608) 364-8800
Fax: (608) 364-8818
Home Site Map