AFFIRMATIVE ACTION RECRUITMENT RECORD

 

Department_________________________________________           Faculty Hire No. ________________________

 

Person recommended_________________________________    Rank/Step recommended_________________

 

Ethnicity ____________________  Sex____________     Disabled : Yes_______________  No_______________

                                                                                                If yes, list type of disability_______________________

 

1.     Date recruitment began as shown on announcement of faculty hire opening   _______________________

 

2.     Date applications were closed ____________________________Total number of applications__________    

        List members of the Search & Screen committee _______________________________________________

        _________________________________________________________________________________________

       

        Attach any rating scales used.

 

Have AA-2 Survey Forms been sent to interested applicants?         Yes_____________ No_____________

 

3.     Names and dates of the meetings and/or conferences at which the position was listed or announced.

        _________________________________________________________________________________________

                                            _________________________________________________________________________________________

                                              _________________________________________________________________________________________

     

                ______________________________________________________________________________________

 

4.     List the publications in which the department advertised.  Attach one copy of each of these ads as they

appeared in the publications listed below.

        __________________________________________________________________________________________

        __________________________________________________________________________________________

        __________________________________________________________________________________________

        __________________________________________________________________________________________

 

5.     Attach a copy of the faculty position opening used to advertise this vacancy.

 

6.     Attach a list of all the places to which the announcement was sent.

 

7.     List other formal contacts which were made in soliciting applicants  for this position._________________

         _________________________________________________________________________________________

         _________________________________________________________________________________________

        __________________________________________________________________________________________

 

I have reviewed the Affirmative Action Recruitment Record and believe that an appropriate                       affirmative action search has been conducted.

 

      _________________________________________________________________________        ______________

Department Equity and Diversity Representative                                                                         Date        

 

________________________________________________________________________        ______________          Department Chair                                                                                                                                             Date

  

      _________________________________________________________________________        ______________

        College Dean                                                                                                                                                        Date

 

      _________________________________________________________________________        ______________

        Director for Equity and Diversity                                                                                                                     Date

 

AA-4

Revised 9/04

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