Affirmative Action Search Summary

Affirmative Action Search Summary

School/Unit: ________________________________________________________	Department: ________________
Position Title: _______________________________________________________	Faculty ¨ A&P ¨ Tenure Track ¨
Position was advertised in the following publications: (If none, please specify reason)	Non-Tenure Track ¨

___________________________________________________________________	Date: _________________
___________________________________________________________________	Date: _________________
___________________________________________________________________	Date: _________________

Position was posted/mailed to the following Institutions: (If none, please specify reason)

___________________________________________________________________	Date: _________________
___________________________________________________________________	Date: _________________
___________________________________________________________________	Date: _________________

Special efforts taken to recruit minority candidates: (Be specific)

___________________________________________________________________________________________

Name of candidate chosen: ___________________________________________________________________________________

Sex: Male ¨ Female ¨	Race/Ethnicity Code*	¨	¨	¨	¨	¨
		1	2	3	4	5

Reason for selection (be specific):

___________________________________________________________________________________________

Total number of candidates: ______________________	Total number of candidates interviewed: __________________
Total number of female candidates: _________________	Total number of female candidates interviewed: ____________
Total number of minority candidates: ________________	Total number of minority candidates interviewed: ____________

Selection Committee		Sex		Race/Ethnicity Code*
		Male	Female	1	2	3	4	5
Name: _____________________________	Title: _____________________________	¨	¨	¨	¨	¨	¨	¨
Name: _____________________________	Title: _____________________________	¨	¨	¨	¨	¨	¨	¨
Name: _____________________________	Title: _____________________________	¨	¨	¨	¨	¨	¨	¨
Name: _____________________________	Title: _____________________________	¨	¨	¨	¨	¨	¨	¨

Signature on this form certifies that a good faith effort has been made to appropriately identify and consider females, members of minority groups, and that the most qualified candidate has been selected for the position.

________________________________________________________________________	Date: _______________
Department Head

Race/Ethnicity Codes*
1. Asian/Pacific Islander	4. White
2. Hispanic	5. American Indian/Alaskan Native
3. Black

DISTRIBUTION: White – Affirmative Action; Canary – President; Pink – Dean/Director; Goldenrod - Department