Form 168a - Equal Employment Opportunity Commission Elementary-Secondary Staff Information - Sample - 2004 Page 2

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PART II.
STAFF STATISTICS AS OF (
DO NOT INCLUDE ELECTED/APPOINTED OFFICIALS (SEE DEFINITION IN APPENDIX)
DATE)__________________
DISTRICT NAME: ______________________________
DISTRICT ID #:________________
STAFF TOTALS
MALE
FEMALE
AMERICAN
AMERICAN
OVERALL
ACTIVITY
WHITE
BLACK
HISPANIC
ASIAN
INDIAN
WHITE
BLACK
HISPANIC
ASIAN
INDIAN
TOTALS
ASSIGNMENT
(SUM OF
(NOT OF
(NOT OF
OR
OR
(NOT
(NOT OF
OR
OR
CLASSIFICATION
COL. B
HISPANIC
HISPANIC
PACIFIC
ALASKAN
HISPANIC
HISPANIC
PACIFIC
ALASKAN
THRU K)
ORIGIN)
ORIGIN)
ISLANDER
NATIVE
ORIGIN)
ORIGIN)
ISLANDER
NATIVE
A
B
C
D
E
F
G
H
I
J
K
A. FULL-TIME STAFF
1.
Officials,
Administrators,
Managers
2.
Principals
3.
Assistant Principal,
Teaching
4.
Assistant Principals,
Non teaching
5.
Elementary
Classroom Teachers
6.
Secondary classroom
Teachers
7.
Other Classroom
Teachers
8.
Guidance
9.
Psychological
10.
Librarians /Audio
Visual Staff
11.
Consultants &Super-
visors of Instruction
12.
Other Professional
Staff
13.
Teachers Aids
14.
Technicians
15.
Clerical/Secretarial
Staff
16.
Service Workers
17.
Skilled Crafts
18.
Laborers, Unskilled
19.
TOTAL (1-18)
B. PART-TIME STAFF
20.
Professional
Instructional
21.
All Other
22.
TOTAL (20-21)
C. NEW HIRES (JULY THRU SEPT. OF THE SURVEY YEAR)
23.
Officials,
Administrators,
Managers
24.
Principals/Asst.
Principals
25.
Classroom Teachers
26.
Other Professional
Staff
27.
Nonprofessional
Staff
28.
TOTAL (23-27)
CERTIFICATION: I certify that the information given in this report is correct and true to the best of my knowledge and was prepared in accordance with
accompanying instructions. Willfully false statements on this report are punishable by law, U.S. Code, Title 18, and Section 1001.
Date
Phone (Include Area Code)
Typed Name/Title of Person Responsible for
Signature
Report
EEOC FORM 168A EEOC-Original Page 2 April 96

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