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Voluntary Applicant Data Record

Government Agencies require reports on status of applicants. This data is foranalysis and Affirmative Action only. SUBMISSION IS VOLUNTARY. Refusals toprovide this information WILL NOTsubject you to adverse treatment. We are anEqual Opportunity Employer and do not discriminate on the basis of race, color,religion, sex, age, national origin, veteran status, sexualorientation, or any otherclassification protected by Federal, state, or local law. This data is for compliance

with Government Regulations only, and will be kept in a Confidential File separatefrom the Employment Application.

(Please Print)

Date:_08/17/2010_________ Position AppliedFor:__C-NAV TECHNICIAN, SURVEYENGINEER, MARINE ENGINEER, MECHANICAL OR ELECTRICAL ENGINEER______

How did you hear about us?:

Advertisement_______ Friend_______ Relative_______ Walk-In_______Employment Agency_______ Other___ X___

If Advertisement, what publication?:_OTHER: OFFSHORE TECHNOLOGY CONFERENCE 2010 AT THE RELIANTPARK, HOUSTON, TEXAS_______________________________________________

Name___CANTU_________ALFREDO_____________________________ Phone( 713)304-1144__________ __

Last First Middle Area Code + Seven Digit#

Address_2222 REDFISH DR._______________________TEXASCITY____________TX_______________77591___________

Street City State Zip Code

Affirmative Action Survey

Government agencies require us to monitor the sex, and ethnicity of applicants. This data is for analysis andaffirmative action only. SUBMISSION OF INFORMATION IS VOLUNTARY.

Check One: Male___ X____ Female________

Check one of the following:

Race / Ethnic Group:

________ American Indian or Alaskan Native A person having origins in any of the original peoples of North America andSouth America (including Central America), and who maintains tribal affiliation of community attachment.

________ Asian A person having origins in any of the original peoples of the Far East, Southwest Asia, or the Indian subcontinent

including, for example: Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and

Vietnam.

________ Black or African American A person having origins in any of the Black racial groups of Africa.

________ Native Hawaiian or other Pacific Islander A person having origins in any of the original peoples of Hawaii, Guam,

Samoa, or other Pacific Islands.

________ White A person having origins in any of the original peoples of Europe, North Africa, or the Middle East.

___X____ Hispanic or Latino (All Races) A person of Mexican, Puerto Rican, Cuban, Central or South American, or other

Spanish culture or origin, regardless of race.