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STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 275-021.21 <br /> CONTRACTOR'S RECRUITMENT REPORT EQUAL OPPORTUNITY OFFICE <br /> 01/10 <br /> Page 1 <br /> SECTION 1: IDENTIFICATION OF CONTRACTOR <br /> 1. Contractor's Name2. FEID No. 3.Mark(x) Month(s) included in this <br /> Report <br /> Years 2 2 <br /> -J—T M A M J JJLJ A I S 10 1 N I D <br /> ❑ ❑ ❑ ❑ ❑ <br /> :1101❑ 101011711171 <br /> 4. Person supplying this report 5. Reporter's Job Title 6. Reporter's Phone No. 7. Reporter's Email address <br /> (first/last) <br /> 8. Company EEO Officer(first/last) 9. EEO Officer's Signature& date 10. Is a letter from the EEO Officer <br /> containing additional information <br /> attached? ❑No❑Yes <br /> 11. List each Florida location where applications are accepted & hiring occurs for construction craft& laborer positions <br /> street/cit /state/zi <br /> Loc.1 <br /> Loc.2 <br /> Loc.3 <br /> Loc.4 <br /> sm SECTION 2: COMPLIANCE WITH FHWA 1273 RECRUITMENT REQUIRMENTS <br /> 12. Does each hiring location comply with the following recruitment Loc. 1 Loc. 2 Loc. 3 Loc. 4 <br /> requirements? <br /> The EEO information is displayed where applicants can see it. ❑ No❑Yes ❑ No❑Yes ❑No❑Yes ❑ No❑Yes <br /> All persons involved in hiring have received EEO training ❑ No❑Yes ❑ No❑Yes ❑ No❑Yes ❑No❑Yes <br /> Responsibility has been assigned for recruitment record keeping ❑ No❑Yes ❑ No❑Yes ❑ No❑Yes ❑ No❑Yes <br /> An applicant log is maintained ❑ No❑Yes ❑ No❑Yes ❑ No❑Yes ❑ No❑Yes <br /> Employees are requested to refer minority/female candidates ❑ No❑Yes ❑ No❑Yes ❑ No❑Yes ❑No❑Yes <br /> Positions are listed with the Agency for Workforce Innovation ❑ No❑Yes ❑ No ❑Yes ❑ No❑Yes ❑ No❑Yes <br /> Private referral sources for minority/female applicants are identified & ❑ No❑Yes ❑ No ❑Yes ❑ No❑Yes ❑No❑Yes <br /> updated <br /> Private referral sources are informed of how to refer candidates ❑ No❑Yes ❑ No❑Yes ❑ No❑Yes ❑No❑Yes <br /> Private referral sources are analyzed for effective minority/female ❑ No❑Yes ❑ No❑Yes ❑ No❑Yes ❑No❑Yes <br /> referrals <br /> Positions are advertised in newspapers having a large minority ❑No❑Yes ❑ No❑Yes ❑ No❑Yes ❑No❑Yes <br /> circulation <br /> `Equal Opportunity Employer is included in all job opening ❑ No❑Yes ❑ No❑Yes ❑ No❑Yes ❑ No❑Yes <br /> communications <br /> Applicants are advised of training opportunities ❑ No❑Yes ❑ No❑Yes ❑ No❑Yes ❑No❑Yes <br /> Hiring decisions& practices are reviewed for EEO &lack of ❑ No❑Yes ❑ No❑Yes ❑ No❑Yes ❑No❑Yes <br /> discrimination. <br /> 13.Are records available to support each `Yes' answer in #12? ❑ No ❑ Yes <br /> SECTION 3: HIRING SUMMARY All new hires and re-hires for all locations listed in Box 11&for the period shown in Box 3 <br /> AMERICAN INDIAN NATIVE HI. TWO OR <br /> TOTAL HIRES TOTAL MINORITIES WHITE BLACK HISPANIC or AL NATIVE ASIAN OTHER PAC IS. MORE RACES <br /> JOB CATEGORIES <br /> M F M F M F M F M F M F M F M F M F <br /> EQUIPMENT OPERATORS <br /> MECHANICS <br /> TRUCK DRIVERS <br /> IRONWORKERS <br /> CARPENTERS <br /> CEMENT MASONS <br /> ELECTRICIANS <br /> PIPEFITTERS,PLUMBERS <br /> PAINTERS <br /> LABORERS SEMI-SKILLED <br /> LABORERS,UNSKILLED <br /> TOTALS <br /> SAMPLE FORM FOR EEO COMPLIANCE/DATA <br /> COLLECTION <br /> NOTE: This form is subject to change or modification <br />