Please click on the title of the form to complete, print and return to our office for processing. All forms are viewable and interactive using Adobe Acrobat (.pdf), unless otherwise notated. All forms require Adobe Acrobat Reader for viewing. If you do not have this software, you can download it free here.
Staff Affirmative Action Compliance Form (PDF)
Non-interactive online Pdf form used for Hiring Officers. Please print, to complete and sign the form. Submit the completed form and other necessary hiring paperwork to your Compliance Officer. Please download the Affirmative Action Checklist for more information.
- Voluntary Self ID Form (PDF)
- PennPeople (website)
The University of Pennsylvania is an equal opportunity employer with a policy of nondiscrimination. As a federal contractor, Penn must comply with federal regulations pertaining to affirmative action, equal opportunity, nondiscrimination and reasonable workplace accommodations. We ask your assistance in helping us to meet our federal compliance obligations of monitoring our hire, internal hire and transfer processes.
We also invite you to self-identify if you are a person with a disability or a covered veteran as defined on the attached form (page 2). Self-identification of a disability or veteran status is strictly voluntary. You may self-identify at any time during your employment with the University. Completed self-identification forms are maintained in files separate from that individual's personnel file and are held in strict confidence, except that:
- Administrators, managers, or supervisors may be informed of any work restrictions or reasonable accommodations;
- First aid or safety personnel may be informed, to the extent necessary, to administer any emergency treatment; and
- Government officials may review the forms in conjunction with an investigation or audit of the University's compliance with relevant federal, state or local law.
The information you provide on this form will be maintained confidentially. Faculty and staff members must complete the form, print, sign and submit it to our office for updates to be made on personnel record or you may go online using your Penn key and password.
- Complaint Form (Harassment/Discrimination) (PDF)
- Complaint Form (Harassment/Discrimination) (Word)
Non-interactive online PDF form. Please print out the form and submit the completed form and other necessary documents to the Office of Affirmative Action & Equal Opportunity Programs.
Reasonable Accommodation Request Form (PDF)
Online Pdf form used to request reasonable workplace accommodations. Please type in all information, print, sign and submit form to our office.
Medical Authorization Form (PDF / for medical provider)
In addition to filling out the Reasonable Accommodations Request Form and/or the Penn Access Transit (HandyVan/ PAT) Request Form, staff or faculty members will need to submit a completed and signed Reasonable Accommodation Medical Authorization Form from their medical provider. This must be completed in order to begin the process of the employee's request.
Penn Access Transit Request Form (PDF)
Penn Access Transit (HandyVan/ PAT) Request Form is used to register Faculty and Staff for the use of the service. PAT service is transportation service available for faculty, staff and students with mobility and vision disabilities. You must have authorization from our office or Office of Student Disabilities Services (for students). Faculty and staff members must complete the form, print, sign and submit it to our office along with medical documentation to register for this service.
Request for Waiver Form (PDF)
While we encourage all schools and centers to conduct full and open searches whenever a vacancy occurs, we recognize that there may be some circumstances in which a waiver of the process of posting and searching to fill a position may be justified.
If the Hiring Officer believes that a vacant position might be eligible for a search waiver, they must submit the request for consideration. All requests for search waivers must be submitted by the appropriate HR Recruiter, who will forward it to the Office of Affirmative Action and Equal Opportunity Programs for review and approval.
For further information refer to "Protecting Penn Data" on Penn Privacy website.
For questions, email email@example.com.