Laserfiche WebLink
275-021-21 <br /> EQUAL OPPORTUNITY OFFICE <br /> 01/10 <br /> 1. Contractor's Name 2. FEID No. 3.Pa a No.(begin with#2) <br /> PMMW- <br /> SECTION 4: HIRES (Group by Location-Additional data may be submitted in an EEO Officer's Ietter0 <br /> A.Hirin location x B.Job Title Filled C Hire's Name first name/last name D Sex and Race <br /> 1 2 3 4 <br /> ❑ 11 El ❑ M F W BI H Al As PI 2M <br /> E.Hire Date F.Hou-ly Pay Rate G.4-di it employee identifier H How did the hire learn about the job? ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> $ <br /> I.How was this Job Opening communicated? Mark all that apply. <br /> . Name of Center/Office Job Order# Dale placed <br /> ❑No❑Yes Agency for Workforce Innovation <br /> ❑ No❑Yes Newspaper(Name each&ad dates) <br /> ❑No❑Yes <br /> Employee Referrals requested I How communicated Date s <br /> (how 8 date) <br /> Private Referral Sources <br /> El NO El Yes (List Names&dates) <br /> ❑No❑Yes Internal (company)job posting <br /> location&date <br /> ❑No❑Yes Internet/email site address&dale) <br /> ❑No❑Yes Now Hiring Signs(location&date) <br /> J.Are records available to support each `Yes' answer in 'I' (above)? ❑ No ❑ Yes <br /> A.Hiring location x B.Job Title Filled C.Hire's Name first name/last name D.Sex and Race <br /> 1❑ 2❑ 1:1 4❑ M F W BI H Al As PI 2M <br /> E.Hire Date F.HourlyPa Rate G.4-digit employee identifier H How did the hire learn about the job? ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> I. How was this Job Opening communicated? Mark all that apply <br /> Name of Center/Office Job Order# Date placed <br /> El No El Yes Agency for Workforce Innovation <br /> ❑No❑Yes Newspaper(Name each&ad dates) <br /> Employee Referrals requested How communicated Dates <br /> ❑NO❑YeS (how&date) <br /> El No❑Yes Private referral sources <br /> (Names&dates) <br /> ❑No❑Yes Internal (company)job posting <br /> location&date <br /> ❑No❑Yes Internet/email site address&date) <br /> ❑No❑Yes Now Hiring Signs(location&date) <br /> J.Are records available to support each `Yes' answer in `1' (above)? ❑ No ❑ Yes <br /> A.Hlrinq location x B.Job Title Filled C. Hire's Name first name/last name D.Sex and Race <br /> 1❑ 2❑ 3❑ M M F w BI H Al As PI 2M <br /> E.Hire Date F Hourl Pa Rate G.4-digit employee identifier H.How did the hire learn about the job? ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> I.How was this Job Opening communicated? Mark all that apply. <br /> Name of Center/Office Job Order# Date laced <br /> ❑No El Yes Agency for Workforce Innovation <br /> ❑No❑Yes Newspaper(Name each&ad dates) <br /> Employee Referrals requested How communicated Date(s) <br /> EI NO 17-1 Yes (how&date) <br /> Private referral sources <br /> ❑No❑Yes (Names&dates) <br /> ❑ No❑Yes , Internal (company)job posting <br /> location&date <br /> ❑No❑Yes Internet/email site address&date) <br /> ❑No❑Yes Now Hiring Signs(location&date) <br /> J.Are records available to su ort each `Yes' answer in 'I' labove ? E] No ❑ Yes <br /> ATTACH AND NUMBER ADDITIONAL COPIES OF THIS PAGE AS NEEDED <br /> SAMPLE FORM FOR EEO COMPLIANCE/DATA <br /> COLLECTION <br /> NOTE: This form is subject to change or modification <br />