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VL# Administrative unit Job Group Title Code Unit Affirmative Action Goals: MSP Grade Salary range advertised (as identified in the Recruitment Plan) Working Title
Projected appointment begin date Candidate Review Committee appointed: Yes No If Yes, indicate chairperson
Attach a list of Committee members according to the following format: Administrative Faculty/Academic Staff Staff Student
* Denotes also representative of constituent organization (i.e., Academic Federation, Academic Senate, ASUCD, Graduate Student Association, UCD Staff Assembly). 1. If the recruitment strategies varied from those stated in the approved recruitment plan, please explain.
2.
Using the format below, list all applicants(a) candidates that were interviewed, (b) candidates that were seriously considered but not interviewed, (c) and candidates that were reviewed but eliminated in the screening process as lacking the qualifications for further consideration. Reasons for non-selection/elimination must relate to Selection Criteria submitted at the beginning of your recruitment. a. The following candidates were interviewed: Interview date Reason for non-selection Name
b.
The following candidates were seriously considered but not interviewed: Reason for elimination Name
c.
The applications of the following candidates were reviewed but eliminated in the screening process as lacking the qualifications for further consideration: Reason for elimination Name
3.
Indicate the composition of the total applicant pool: American Indian Alaskan Native Asian African American Chicano Hispanic Latino Caucasian Unidentified Total
Men Women Gender Unidentified Total 4. Indicate the composition of the pool of applicants seriously considered but not interviewed: Chicano American Indian African Hispanic Alaskan Native Asian American Latino Caucasian Unidentified
Total
Men Women Gender Unidentified Total 5. Indicate the composition of the pool of applicants interviewed: Chicano American Indian African Hispanic Alaskan Native Asian American Latino
Caucasian
Unidentified
Total
6.
If no minority or women candidates were seriously considered, explain the reasons and circumstances. Page 1 of 2
8.
Number of offers rejected Number of offers made If offer was rejected, state reason given:
9.
Offer accepted by
Ethnicity
Gender
Check If Applicable: Disabled ___ Vietnam-Era Veteran ___ Special Disabled Veteran ___ Annual Salary Form Prepared by Appointment Begin Date
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