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Smiths Medical takes applications for all jobs without regard to the person's race, color, religion, gender, age, sex, sexual orientation, national origin, marital status, or veteran status, medical conditions or disability.

We use the information below to help us find applicants for our jobs, make sure our tests are valid and report to the government. We will keep the information private and separate from the application. We will not give this information to the staff members in charge of hiring. We appreciate your cooperation and help in filling out this Applicant Data Record. You do not need to give information about your race, gender, disability or veteran status if you do not want to. Please indicate the appropriate answer(s) in the following form:

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