Eeo Form Printable Details

You'll find information about the type of form you need to prepare in the table. It will show you just how long it will require to fill out hire eeo 1 data sheet, what parts you will need to fill in and some further specific details.

QuestionAnswer
Form NameHire Eeo 1 Data Sheet
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameseeo form print, eeo form blank, eeo 1 data sheet form, eeo form template

Form Preview Example

New Hire EEO-1 Data Sheet

Please complete this New Hire EEO-1 Data Sheet. It will supply us with information we need for federal reporting obligations. Please be advised that this information will be used and kept confidential, in accordance with applicable laws and regulations.

This information will notbe used as the basis for any adverse employment decision.

Name

 

 

 

 

 

 

 

 

 

 

 

Social Security #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last

 

 

 

 

 

First

 

Middle

 

 

 

 

 

Present Address

 

 

 

 

 

 

 

City

 

 

 

 

State

 

ZIP

 

Phone #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How long at present address?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Previous Address

 

 

 

 

 

 

 

City

 

 

 

 

State

 

ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone #

 

 

 

 

 

 

 

How long at previous address?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Male

 

 

 

Female

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EEO-1 Self-Identification

We are subject to certain government recordkeeping and reporting requirements for the administration of civil rights laws and regulations. To comply with these laws, we invite you to voluntarily self-identify your race or ethnicity. Submission of this information is voluntary and refusal to provide it will not subject youto any adverse treatment. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual.

Please check the EEOIdentification Groupthat best applies to you:

Hispanic or Latino- A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

White (Not Hispanic or Latino) - A person having origins in any of the original peoples of Europe, the Middle East or North Africa.

Black or African American (Not Hispanic or Latino)- A person having origins in any of the black racial groups of Africa.

Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)- A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

Asian (Not Hispanic or Latino) - A person having origins in any of the original peoples of the Far East, Southeast Asia or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam.

American Indian or Alaska Native (Not Hispanic or Latino)- A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.

Two or more Races (Not Hispanic or Latino) - All persons who identify with more than one of the races above, excluding Hispanic or Latino.

12/ 2007

Reasonable Accommodation

In the event you believe there is a reasonable accommodation that will assist you in performing the essential functions of your job, please contact your manager or Human Resources.

Employee Signature

 

Date

 

 

 

To Be Completed By Employers:

From the EEO job categories listed below, which one best describes the employee's position

Executive/Senior-Level Officials and Managers

 

Administrative Support Workers

First/Mid-Level Officials and Managers

 

Craft Workers

 

Professionals

 

Operatives

Technicians

 

Laborers and Helpers

Sales Workers

 

Service Workers

Notes:

Completed by:

 

Date:

 

 

 

* To be filed separately from employment application. *

If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .