REPRESENT. Diversity | Equality | Awareness

Statewide Employee Survey

The data requested on this survey is for statistical purposes only to meet statutory requirements and will not be used for any employment decisions. Your information is being collected by California Department of Human Resources (CalHR) and will be kept confidential. No personal identifying information will be released to other state agencies.

All employees are requested to voluntarily self-identify veteran status, race/ethnicity and disability status so CalHR can monitor and evaluate the provision of equal employment opportunity and non-discriminatory employment practices within the state civil service.


* Required Field
Veteran Status

Have you ever served in the United States Military?

Race and Ethnicity

Please check one box that best describes your race or ethnicity.

 
Asian
Pacific Islander

1 If you identify with more than one race that is not Hispanic or Latino, select Multiple Races.

2 If you identify with more than one Asian ethnicity, select Multiple Asian.

3 If you identify with more than one Pacific Islander ethnicity, select Multiple Pacific Islander.

Disability Status

Check all that apply:


As it appears on your pay stub
* Required Field

Technical Help

Employees experiencing difficulty when entering the last four digits of the social security number in the required SSN field, when using Internet Explorer, please use the following steps to resolve the issue: Go into the settings (wheel on right side of tool bar); click “Compatibility View Settings.” Remove “ca.gov” from the Websites added to Compatibility View. After the survey is completed, you may need to reverse the process and add “ca.gov” back into the list, as this support is necessary to view older websites correctly. Please check with your internal IT Unit if the problem is not resolved.

Privacy Notice on Information Collection

The California Department of Human Resources (CalHR) is committed to maintaining the privacy of your personal information. All information we collect is governed by the State of California Information Practices Act of 1977 (Civ. Code, §§ 1798-1798.78), Government Code section 11015.5, Government Code section 11019.9, and the California Public Records Act (Gov. Code, §§ 6250-6270.5).

Legal Authority for Collection and Use of Information

CalHR, Office of Civil Rights, is requesting the information specified on this form pursuant to Government Code sections 19233, subdivision (b) and 19704, subdivision (b).

The information collected will be used for statistical analysis as required under Government Code sections 19792 subdivisions (h), (i), and (j); and 19233, subdivision (b). In addition, under Public Law 88-352, Title VII of the Civil Rights Act of 1964, all state and local governments are required to maintain records and submit a report to the Equal Opportunity Commission. This information is required to comply with The Office of Management and Budget's (OMB), Revisions to the Standards for Classification of Federal Data on Race and Ethnicity.

Disclosure and Sharing

CalHR does not, under any circumstance, sell your electronically collected personal information. Government Code section 11015.5, subdivision (a) (6) prohibits CalHR and all state agencies from distributing or selling any electronically collected personal information, as defined above, about users to any third party without the written permission of the user. Any distribution of electronically collected personal information will be used solely for its intended use.

However, we may share your personal information under the following circumstances:

  1. In published statistical reports. No names, Social Security Numbers, or other personal identifying information will be provided through these statistical reports.
  2. You give us written permission and consent.
  3. We may release information to a party with a legal authority, such as a subpoena.
If you elect not to provide the information requested, CalHR will not be able to effectively evaluate the representation of the state civil service workforce.

Department Privacy Policy

For more information on how we care for your personal information, please read our Privacy Policy.

Access to your information

The CalHR Privacy Officer is responsible for maintaining collected records. You have a right to access records containing your personal information we maintain. To request access, contact:

CalHR Privacy Officer
1515 S Street, 400N
Sacramento, CA 95811
916-324-0455
Privacy.Officer@calhr.ca.gov