Federal Education Consortium Registration

Federal Education Consortium Registration
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Name: (fill in)
Agency: (fill in)
Email: (fill in)
Job Title (optional, fill in)
Primary Duties (optional, select all that apply, check box, choices are compliance,
counseling, data science, DEIA, investigation, mediation, leading, SEPM, SEEM, DPM
6. Years of EEO experience (optional, 4 radio buttons, 15+, 10-15, 5-10, less than 5 yrs)
7. What topics or programs are you interested in? (optional, fill in)
Privacy Act Statement
Section 705 of Title VII of the Civil Rights Act of 1964, 42 U.S.C. 2000e-4, created the EEOC’s
Technical Assistance Training Institute, through which this program is presented. The provision
of contact information on this form is voluntary. The primary use of this information will be to
allow the EEOC to contact you regarding future training opportunities. Additional disclosure of
this information may be made pursuant to the routine uses for Revolving Fund Registrations
outlined in the EEOC’s Systems of Records Notice.