7. Basis of alleged discrimination: Check ONLY the boxes that you believe were the reasons for discrimination and fill in specifics only for those reasons. A charge of discrimination can be completed through our online system after you submit an online inquiry and we interview you.A description of why you believe you were discriminated against, such as because of your race, ethnicity, sex, age, disability, pregnancy, or other reasons. A charge of discrimination is a signed statement asserting that an employer, union or labor organization engaged in employment discrimination. Those efforts are undercut when employers discriminate against workers or applicants because of their race, gender, or other attributes irrelevant to the job. Defendant(s). (Write the full name of each defendant who is being sued. Instructions: Please fill out this application accurately and completely. Please print clearly or type all information. Would allow the individual to apply for a job or perform the essential functions of a job. It can be seen in the hiring process, promotions, compensation, and privileges and benefits offered to employees.