Interview Selection Form Page 3

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(TO BE COMPLETED BY ASSISTANT VICE PRESIDENT OF INSTITUTIONAL
EQUITY & DIVERSITY FROM DATA GATHERING LETTERS)
TO:
_______________________________________
FROM:
Assistant Vice President of Institutional Equity and Diversity
SUBJECT:
Authorization to Proceed with the Selection Process
Position Recruited for: ____________________________________
Department: _______________________________________________
Does representation of women and minorities in the application pool adequately reflect the
availability data?
YES ____ NO ____
If not, have reasonable efforts been made to attain fair representation?
YES ____ NO ____
Does the department have a numerical objective for hiring women or minorities? YES____
NO____
Current Underutilization:
Women ____ Black ____
Other Minorities ____
Comments:
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
Authorization to proceed with the selection process: YES ____ NO ____
_______________________________________
_____________________
Signature
Date
cc both sides:
Academic Services Analyst ________
Department Chair
________
Academic Affairs
________
Updated 06/2011

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