SEARCH & SELECTION ACTIVITIES REPORT
(ATTACHMENT H)
OFFICE OF AFFIRMATIVE ACTION/EQUAL EMPLOYMENT OPPORTUNITY
GENERAL INFORMATION
Date
Name of Selected
Candidate
School/Division
Department
Academic Rank/
Position Title
Area of
Specialization
Salary Table and Range
Step
Actual Salary
POSITION STATUS
Tenure Track
New Position
Permanent
Replacement for whom
Full-time
Grant Number
Grant Date
% of Full-Time Equivalent (FTE)
EEO Code
Yes
No
Temporary
Part time
From
To
RECRUITMENT AND ADVERTISEMENT
Did you publish an advertisement for the position?
Approval notice.
Yes
No
If yes, please attach. If no, attach waiver
List the name and address for all individuals, organizations and publications to which the job announcement was sent. State if it is a
minority, female or handicapped source.
1.
2.
3.
4.
5.
6.
7.
*Race Category:
A = Black
B = Hispanic
C = White
D = Asian or Pacific Islander
E = American Indian or Alaskan Native
Page 2
SUMMARY OF INTERVIEWS
List all candidates below in rank order and provide information requested, beginning with candidates selected for
appointment
1.
2.
3.
4.
5.
6.
Please complete this section on the Attachment H spreadsheet.
COMMENTS:
SELECTION METHOD
Review and Determinations by:
Search Committee
Immediate Supervisor
Department/Division Chairperson
Other
SIGNATURES
(Search Committee Chairperson)
(if applicable)
Date
(Director/Department Chairperson)
Date
(VP, Dean or Faculty Administrator)
Date
(AA/EEO Office)
Date
RETURN APPROVAL TO:
Name
School/
Division
Department
Please attach the following:
1. Job Description
2. Advertisement(s)
5. Waiver Approval Notice (if applicable)
3. Recruitment Letters
4. C.V./Resume, and Bid Application (if applicable)
OTHER
PROFESSIONAL
SPECIALTY
RECRUITMENT SOURCE
SALARY
SEX
(M/F)
REFERENCES
RACE
EXPERIENCE
NAME
EDUCATION
REASON FOR REJECTION