EQUAL EMPLOYMENT OPPORTUNITY - STAFFING PLAN (Instructions on Page 2) Applicant Name: Telephone: Address: Federal ID No.: City, State, ZIP: Project No: Report includes: Work force to be utilized on this contract OR Applicant’s total work force Enter the total number of employees in each classification in each of the EEO-Job Categories identified. Race/Ethnicity - report employees in only one category Not-Hispanic or Latino Hispanic or Latino Male Female or or Force EEO - Job Categories Work Pacific Indian Pacific Indian More More Native Native Hawaiian Hawaiian or or Other Other Black Total White White Male Native Native African-American Asian American Alaska Disabled Veteran African-American Asian American Alaska Disabled Veteran or or Races or Races Female Two Two Islander Islander Executive/Senior Level Officials and Managers First/Mid-Level Officials and Managers Professionals Technicians Sales Workers Administrative Support Workers Craft Workers Operatives Laborers and Helpers Service Workers TOTAL PREPARED BY (Signature): DATE: NAME AND TITLE OF PREPARER: TELEPHONE/EMAIL:
EQUAL EMPLOYMENT OPPORTUNITY - STAFFING PLAN (Instructions on Page 2) Applicant Name: Telephone: Address: Federal ID No.: City, State, ZIP: Project No: Report includes: Work force to be utilized on this contract OR Applicant’s total work force Enter the total number of employees in each classification in each of the EEO-Job Categories identified. EEO - Job Categories Total Work Force Race/Ethnicity - report employees in only one category Hispanic or Latino Not-Hispanic or Latino Male Female Male Female White African-American or Black Native Hawaiian or Other Pacific Islander Asian American Indian or Alaska Native Two or More Races Disabled Veteran White African-American Native Hawaiian or Other Pacific Islander Asian American Indian or Alaska Native Two or More Races Disabled Veteran Executive/Senior Level Officials and Managers First/Mid-Level Officials and Managers Professionals Technicians Sales Workers Administrative Support Workers Craft Workers Operatives Laborers and Helpers Service Workers TOTAL PREPARED BY (Signature): DATE: NAME AND TITLE OF PREPARER: TELEPHONE/EMAIL:
Final%20CSG%20Application%20to%20post%206-29-17.docx