Affirmative Action Recruitment Report
Once a final candidate has been selected, complete the following form and attach it to the recruitment file. The file should then be forwarded for the appropriate signatures prior to a job offer being extended.
Group Identification Codes:
A - Asian
AI - American Indian
B - Black
D - Disable
H - Hispanic
W - Woman
Selected Candidate:
________________________________________________________________________________
Last Name, First Name
___________________________
Position Number
___________________________
Control Number
___________________________
Requisition Number
_________________________________________________________________________________
Department
___________________________
Proposed Salary
___________________________
Proposed Start Date
Provide a description of the applicant pool below. Provide job related reason as to why the candidate was not selected must be provided.
Applicant Name |
Sex |
Race |
Reason For Not Selecting |
Screened By |
Initials |
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Signatures:
_________________________________________________________________________________
Affirmative Action Coordinator
_______________________________
Date
__________________________________________________________________________________
Director, Human Resources
_______________________________
Date