Transcription

1 Proposed EEO-1 Form (page 2) Page 1 of 6 U.S. Equal Employment Opportunity Commission This is the proposed EEO-1 Form to collect compensation data. SECTION D - EMPLOYMENT DATA Employment at this establishment - Report all permanent full- and part-time employees including apprentices and on-the-job trainees unless specifically excluded as set forth in the instructions. Enter the appropriate figures on all lines and in all columns. Blank spaces will be considered as zeros.

2 Proposed EEO-1 Form (page 2) Page 2 of 6 Number of Employees (Report employees in only one category) Race/Ethnicity Job Categories Annual Salary in Thousands Hispanic or Latino Male Female White Black or African American Hawaiian or Pacific Islander Male Asian American or Alaska Non/Hispanic or Latino Two or More races White Black or African American Hawaiian or Pacific Islander Female Asian American or Alaska Two or More races Total Col A-N A B C D E F G H I J K L M N O Executive/Senior Level Officials and Managers 1.1 First/ Mid-Level Officials and Managers 1.2

3 Proposed EEO-1 Form (page 2) Page 3 of 6 Technicians 3 Sales Workers 4

4 Proposed EEO-1 Form (page 2) Page 4 of 6 Adminstrative Support Workers 5 Craft Workers 6 Operatives 7

5 Proposed EEO-1 Form (page 2) Page 5 of 6 Laborers and Helpers 8 Service Workers 9

6 Proposed EEO-1 Form (page 2) Page 6 of 6 Total 121. Previous Year Total 122. Save & Go Back ( Save & Continue () U.S. Equal Employment Opportunity Commission EEO-1 Joint Reporting Center P.O. BOX 3128 Reston, VA 20195

7 Page 1 of 12 Español (/spanish/) Other Languages (/languages/) U.S. Equal Employment Opportunity Commission (/index.cfm) Enter search terms... Search Home (/) About EEOC (/eeoc/) Employees & Applicants (/employees/) Employers (/employers/index.cfm) Federal Agencies (/federal/) Contact Us (/contact/) Home (/) > Employers (/employers/) > EEO-1 Survey (/employers/eeo1survey/) (2016_new_survey_3.cfm?renderforprint=1) (mailto:?subject=link from U.S. Equal Employment Opportunity Commission website&body=here's a link to a page on the U.S. Equal Employment Opportunity Commission website that you might be interested in...%0a%0ahttp:// ( This is the proposed EEO-1 Form to collect compensation data. SECTION D - EMPLOYMENT DATA Employment at this establishment - Report all permanent full- and part-time employees including apprentices and on-the-job trainees unless specifically excluded as set forth in the instructions. Enter the appropriate figures on all lines and in all columns. Blank spaces will be considered as zeros.

8 Page 2 of 12 For each cell provide the TOTAL Number of Hours worked in last year Race/Ethnicity Job Categories Annual Salary in Thousands Hispanic or Latino Male Female White Black or African American Male Hawaiian Asian or Pacific Islander Non/Hispanic or Latino Two or Black or American More White African or Alaska races American Female Hawaiian Asian or Pacific Islander American or Alaska Two or More races Total Col A-N A B C D E F G H I J K L M N O Executive/Senior Level Officials and Managers 1.1

9 Page 3 of 12 First/ Mid-Level Officials and Managers 1.2 Professionals 2

10 Page 4 of 12 Technicians 3

11 Page 5 of 12 Sales Workers 4

12 Page 6 of 12 Adminstrative Support Workers 5 Craft Workers 6

13 Page 7 of 12 Operatives 7

14 Page 8 of 12 Laborers and Helpers 8

15 Page 9 of 12 Service Workers 9 Total 121. Previous Year Total 122.

16 Page 10 of 12 Date(s) of payroll period used: (Omit on the Consolidated Report) SECTION E -ESTABLISHMENT INFORMATION (Omit on the Consolidated Report) What is the major activity of this establishment? (Be specific, i.e., manufacturing steel castings, retail grocer, wholesale plumbing supplies, title insurance, etc. Include the specific type of product or type of service provided, as well as the principal business or industrial activity.) SECTION F - REMARKS Use this item to give any identification data appearing on the last EE0-1 report which differs from that given above, explain major changes in composition of reporting units and other pertinent information. SECTION G - CERTIFICATION

17 Page 11 of 12 Check One: 1. All reports are accurate and were prepared in accordance with instructions. (Check on Consolidated Report Only.) 2. This report is accurate and was prepared in accordance with the instructions. Name of Certifying Official Title Signature Date Name of Person to contact regarding this report Title Address (Number and Street) City and State Zip Code Address Telephone No. (including Area code and Extension) Save & Go Back (/employers/eeo1survey/page2.html) Finalize & Submit (/employers/eeo1survey/thankyou.html)

18 Page 12 of 12 U.S. Equal Employment Opportunity Commission EEO-1 Joint Reporting Center P.O. BOX 3128 Reston, VA ( ( ( ( Privacy Policy (/privacy.cfm) Disclaimer (/disclaimer.cfm) USA.Gov (