Purdue Research Foundation is an Equal Opportunity/Equal Access/Affirmative Action Employer and complies with all applicable federal and state regulations. We are required to solicit the information indicated below. This information is kept for statistical reporting and federal EEO/AA requirements. Your responses are voluntary and your cooperation in providing this information is appreciated. Failure to provide the following information will not result in an adverse employment action.

Responses to the following questions are mandatory

Responses to the following questions are voluntary



Responses to the following questions are mandatory

Are you legally eligible for employment in the United States?


Are you eligible for off-campus employment?

Note: PRF is an off-campus employer.



Criminal Conviction(s): An individual who has been convicted of a crime is not automatically barred from employment. Have you ever been convicted of or pled guilty to a crime? (Include court-martial convictions, exclude minor traffic violations)

If Yes, please complete the following:


The information I have provided to Purdue Research Foundation, including, but not limited to, the information on my resume, is true and complete to the best of my knowledge. Providing false or misleading information, or failing to provide material information at any time during the employment process may result in the termination of my candidacy and/or employment with Purdue Research Foundation. Furthermore, if I am convicted of or plead guilty to a crime after I complete this form, I will report the conviction or guilty plea to PRF Human Resources immediately.