Position No. _____________

 

 

EEO-AFFIRMATIVE ACTION

 

FORM II

 

            This form is to be submitted with the recommendation for appointment.

            Candidates interviewed for the position should be listed in rank order.

 

 

Department/School: _______________________________________________________________

 

Position Title: ____________________________________________________________________

 

 

           Name                                                                    Highest Degree        Gender        Race

 

    1.  _________________________________________________________________________

 

    2.  _________________________________________________________________________

 

    3.  _________________________________________________________________________

 

    4.  _________________________________________________________________________

 

    5.  _________________________________________________________________________

 

 

 

__________________________________________

Dept. Chair                                                            Date

 

 

 

                                                                        __________________________________________

                                                                        Dean                                                                Date

 

 

 Oct. 2000