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STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 275-021-05 <br /> RECORD OF SUPERVISORY AND OFFICE PERSONNEL EQUAL OPPORTUNITY <br /> oval <br /> EEO MEETING OR INDIVIDUAL ORIENTATION <br /> 1. COMPANY NAME: 2. DATE OF MEETING(M/D/Y): <br /> 3. FEID #OR FDOT VENDOR#: 4. NAME OF EEO OFFICER: <br /> 5. CHECK TYPE OF MEETING: 6. ADDRESS WHERE MEETING HELD: <br /> ❑ INDIVIDUAL ORIENTATION <br /> ❑ EEO MEETING <br /> 7. EEO OFFICER'S CERTIFICATION: <br /> The signature of this Company's EEO Officer is certification that an individual orientation or meeting was held with <br /> supervisory personnel and others idvolved in personnel matters to address all aspects of our equal employment opportunity <br /> (EEO) obligations. The major topics were addressed and a signed attendance record was made. <br /> SIGNATURE: , EEO OFFICER <br /> 8. MAJOR TOPICS ADDRESSED: <br /> ✓EEO Policy and Affirmative Action Plan ✓ Bulletin Boards <br /> ✓ Identification of EEO Officer ✓ Interviews by State and Federal representatives <br /> ✓ Equal Employment Opportunity and recruitment ✓Training opportunities <br /> ✓Wages and Payrolls ✓ Complaints <br /> ✓Utilization of Disadvantaged Businesses <br /> 9. ATTENDEES: <br /> PRINTED NAME AND TITLE SIGNATURE <br /> SAMPLE FORM FOR EEO UOMPLIANCE/DATA <br /> COLLECTION <br /> ATTACH ADDITIONAL PAGES IF NECESSARY <br />