Affirmative Action Plan Format
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43AFFIRMATIVE ACTION PLAN (AAP) FORMAT
Effective April 2009
COVER PAGE
Company Name:
______________________________________________
Company Address:
______________________________________________
Telephone No.:
______________________________________________
FAX No.:
______________________________________________
E-mail Address:
______________________________________________
Web Site Address:
______________________________________________
Date Submitted:
______________________________________________
AAP Prepared By:
______________________________________________
(Please Print)
______________________________________________
(Please Print)
Name of AA/EOE Officer
________________________________________________
(Please Print)
Name and Title of the Head of the Company
This Affirmative Action Plan is submitted for:
State Contract Number:
_________________________
Awarding Agency:
_________________________
Contract Value:
_________________________
M/W/DisBE Value:
_________________________
SBE Value:
_________________________
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Parent category: Business