Division of Inclusion and Equity

Voluntary Self-Identification Form

Please select all that apply: *


  • A person who (1) has a physical or mental impairment that substantially limits one or more major life activities; (2) has a record of such impairment; or (3) is regarded as having such impairment.


  • A veteran of the U.S. military ground, naval, or air service (1) who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Department of Veterans Affairs, or (2) who was discharged or released from active duty because of such a service-connected disability.


  • A veteran who served on active duty in the U.S. military ground, naval, or air service during the one-year period beginning on the date of such veteran's discharge or release from active duty.


  • A veteran who, while on active duty, participated in a U.S. military operation for which an Armed Forces service medal was awarded.


  • A veteran who served on active duty in the U.S. military ground, naval, or air service during a war in a campaign or expedition for which a campaign badge has been authorized under laws administered by the U.S. Department of Defense. The information required to make this determination is available at http://www.fedshirevets.gov/hire/hrp/vetguide/index.aspx. A copy of the list also may be obtained by calling (301) 306-6752 and requesting that a copy of the list be mailed to you.