Position No. __________

 

 

EEO-AFFIRMATIVE ACTION

 

FORM III

 

(to be submitted after a candidate has accepted)

 

 

For the position of _______________________ in __________________ Dept./College, offers (both verbal and written) were extended in the following offer:

 

 

            Name                                                                    Highest Degree        Gender        Race

 

    1.  _________________________________________________________________________

 

    2.  _________________________________________________________________________

 

    3.  _________________________________________________________________________

 

    4.  _________________________________________________________________________

 

    5.  _________________________________________________________________________

 

 

                 

COMMENTS (e.g., reasons given for not accepting offer, etc.):________________________

 

________________________________________________________________________________

 

________________________________________________________________________________

 

 

 

                                                            _________________________________________________

Dept. Chair                                                      Date

 

 

 

                                                            _________________________________________________

                                                                        Dean                                                                Date

 

 *  Indicate person who accepted offer by an asterisk.

 

 Oct. 2000