Page images
PDF
EPUB

-8

Applicants Tested in Past 6 Months

Negro

*

Other
Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail
MFM FM FM F

MIFMIFM

MIF MF

Job

Applicable Name of Purpose Cut-Off Score Test of Test If Applicable

[blocks in formation]
[merged small][ocr errors]

Use a separate column for Spanish Surnamed Americans, American Indians, Orientals and others when the group constitutes 2% or more of the labor market. Under "Purpose of Test" indicate hiring, job assignment, etc.

Correlation Ratio

Validation Data (if Validated)

T

Method By Whom

-9

[merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][ocr errors][ocr errors][merged small][merged small][merged small][merged small]

*Use a separate column for Spanish-Surnamed Americans, American Indians, Orientals and others when the group constitutes 2% more of the labor market:

-11

3(d) Review the applications of the last 100 applicants who were reviewed for employment but not employed, or all those so rejected in the last six months, whichever is the lesser number, and furnish the following numbers:

[blocks in formation]

A.

+

T

[ocr errors]
[ocr errors]
[ocr errors]

T

+

Qualified for some jobs, but no vacancies in such jobs at
time of application.

[blocks in formation]

F.

G.

H.

I.

J.

K.

L.

Unfavorable interview.

Unfavorable reference check.

Physical.

Transportation.

Criminal convictions.

Applicant rejected contractor's offer of employment.
Other.

(If candidate was not employed because of the above, list him/her
in the totals for the category in which he/she was found deficient.
If candidate was not employed for a combination of the above, list
him/her in the totals for each category in which he/she was found
deficient.)

NOTE: Questions 4, 5, 6 and 7 may require information which

4.

has not previously been collected. In that event, please
answer the questions based on your best estimates, and
revise your data collection system so that in the next
year, you will have accurate information to answer
this question. After one year of operation in this
data collection system, answers to these and other
questions should not be based on estimates but on actual
data.

Attach to this Form a list by department, line of progression or unit within which promotion normally occurs of all employees ranked by job in order of progression and indicate for each: name, job title, sex, minority group identification as described in the EEO-1 form, original hire date, and other appropriate seniority dates considered in promotion, transfer or layoffs.

a.

List any departments, units, lines of progression or jobs, in which minorities or women represent or have represented a larger proportion of the workforce of that department, unit, cic. than that minority's average proportion of the establishment's total workforce.

« PreviousContinue »