SECTION ONE
Agency name
Year of Reporting -
Indicate the year this report is being submitted
Quarterly Reporting Schedule -
The report being submitted covers the following period
Completing the Form -
Did your agency fill any unlimited, classified hires through the Multi-Source process where a disparity exists OR any non-competitive, qualifying hires in a job group where a disparity exists for the period being reported?
If Yes, complete the entire form. If No, proceed to Section Three (Agency Personnel).
SECTION TWO- APPOINTMENTS I. UNLIMITED, CLASSIFIED MULTI-SOURCE APPOINTMENTS
A. Total Number Of Unlimited, Classified Multi-Source Appointments
Enter the total number of appointments for this reporting period where a disparity exists:
B. Affirmative Appointments
Of the total number of unlimited, classified Multi-Source appointments
how many were affirmative?
C. Non-Affirmative Appointments
Of the total number of unlimited, classified Multi-Source appointments,
how many were non-affirmative?
D. Non-Affirmative Justified
Of the total number of unlimited, classified Multi-Source appointments
non-affirmative hires, how many were justified?
E. Non-Affirmative, Non-Justified (Missed Opportunities)
Of the total number of unlimited, classified Multi-Source appointments,
how many were non-affirmative, non-justified (Missed Opportunities)?
II. NON-COMPETITIVE, QUALIFYING APPOINTMENTS
A. Total Number Of Non-Competitive, Qualifying Appointments
Enter the total number of non-competitive, qualifying appointments for this reporting period where a disparity exists:
B. Affirmative Appointments
Of the total number of non-competitive, qualifying appointments,
how many were affirmative?
C. Non-Affirmative Appointments - Of the total number of non-competitive, qualifying appointments,
how many were non-affirmative appointments?
D. Non-Affirmative Justified - Of the total number of non-competitive, qualifying non-affirmative appointments,
how many were justified?
E. Non-Affirmative, Non-Justified (Missed Opportunities) - Of the total number of non-competitive, qualifying non-affirmative appointments,
how many were non-justified (Missed Opportunities)?
SECTION THREE- AGENCY PERSONNEL
Agency Personnel
Before pressing SUBMIT, please print a copy of the survey and your responses for your records.
Thank You!