Collecting Compensation Data from Employers (2012) / Chapter Skim
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Appendix A: EEO Report Forms
Appendix A: EEO Report Forms
Pages 99-110
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From page 99... ...
Appendix A EEO Report Forms This appendix reproduces the four equal employment opportunity (EEO) reports that collect data relevant to wages and employment, discussed in Chapter 1: • EEO-1, required from private employers with 100 or more employ ees or 50 or more employees and a federal contract; • EEO-3, required from referral unions, primarily unions with exclu sive hiring arrangements with an employer; • EEO-4, required from state and local governments; and • EEO-5, required from primary and secondary public school districts.
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DO NOT ALTER INFORMATION PRINTED IN THIS BOX MAIL COMPLETED FORM TO: EEO-4 Reporting Center PO Box 1898 Chicago, IL 60690-1898 A. TYPE OF GOVERNMENT (Check one box only) 1. State 2. County 3. City 4. Township 5. Special District 6. Other (Specify)
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APPENDIX A 105 D. EMPLOYMENT DATA AS OF JUNE 30 (Do not include elected/appointed officials. Blanks will be counted as zero) 1. FULLTIME EMPLOYEES (Temporary employees are not included)
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106 COLLECTING COMPENSATION DATA FROM EMPLOYERS D. EMPLOYMENT DATA AS OF JUNE 30 (Cont.) (Do not include elected/appointed officials. Blanks will be counted as zero)
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APPENDIX A 107 REMARKS (List National Crime Information Center (NCIC) number assigned to any Criminal Justice Agencies whose data are included in this report)
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IDENTIFICATION A TYPE OF AGENCY WHICH OPERATES THE REPORTING SCHOOL SYSTEM Local Public School Special Regional Agency State Education Agency Other (Specify)
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DISTRICT NAME: _______________________________________ A FULL-TIME STAFF Race/Ethnicity Activity Assignment Hispanic or Non -Hispanic or Latino Classification Latino Total Male Female Col A-N Black or African or Alaska Native American Indian Native Hawaiian American Indian or Other Pacific Two or more Native Hawaiian Black or African Two or more or Other Pacific American or Alaska Islander Female Native White White Asian Asian races Male races American Islander A B C D E F G H I J K L M N O 1.
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From page 110... ...
Principals/Assistant Principals 25. Classroom Teachers 26.
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