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Form
B:
Affirmative Action Report
AA
SEARCH # _______________________
Before an offer of
employment can be made, the search committee chairperson must
complete this form and return it to the Office of Social
Equity.
1.
Department:
____________________________________________________________
2.
Position Advertised:
_______________________________________________________
3.
Date First Advertised: __________________________
4. Closing
Date:____________
5.
Position advertised where? (Attach Recruiting Strategy)
6.
Number of applicants by race: Black
____ Caucasian
____ Latino
____
Asian/Pacific
Islander ____ Native American or Native Alaskan
____ Other
_______ Total
number ____
7.
Number of qualified* applicants by race: Black
____ Caucasian
____ Latino ____
Asian/Pacific
Islander ____ Native
American or Native Alaskan ____
Other _______
Total number ____
8.
Number of applicants by gender: female ____
male ____ total
number ____
9.
Number of qualified* applicants by gender:
female ____ male
____ total
number ____
10.
Applicants interviewed by race:
Black ____ Caucasian
____ Latino ____
Asian/Pacific Islander ____
Native American or Native Alaskan ____
Other _______
Total number ____
11.
Applicants interviewed by gender (on campus):
female ____ male
____ total
number ____
12.
Person employed: Name
________________________________
race ____________ gender _______
13.
Person filing this report:
_______________________________
Date: ______________
*Qualified:
Those applicants meeting all posted minimum
requirements. |