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 EEO - Job Categories Force Work Pacific Indian Pacific Indian More More Male Hawaiian Hawaiian or or Other Other White White Native Native Native Native African-American Asian American Disabled Veteran African-American American Disabled Veteran or or Races or 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 PREPARED BY (Signature): DATE: NAME, 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 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 Native Hawaiian or Other Pacific Islander Asian American Indian or Native Two or More Races Disabled Veteran White African-American Native Hawaiian or Other Pacific Islander American Indian or Native Two or More 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 PREPARED BY (Signature): DATE: NAME, TITLE OF PREPARER: TELEPHONE/EMAIL:
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