HIRING MANAGER

HIRING MANAGER’S SEARCH SUMMARY REPORT

and Affirmative Action Information

(This form should be completed by the hiring manager at the end of each search and submitted to the Director of Human Resources within two weeks of the end of the search.)

Position filled: __________________________________________________________________________________

Department: _____________________________________ Hiring Manager: ________________________________

PRIVATE	Total # Applications (including minorities)			Applications from Minorities*
PRIVATE	Male	Female	Total	Male	Female	Total
No. of Applications Received
No. Invited to Interview
No. Accepting Interview
No. Refusing Interview
No. Acceptable to Screening Committee
No. Unacceptable to Screening Committee
No. Offered Position
No. Refusing Offer

(*Minority includes Black, Hispanic, Asian/Pacific Islander and American Indian/Alaskan Native. “Applications from Minorities” is a subset of all applications.)

Candidate Interviewed	Hired
1.
2.
3.
4.
5.
6.
7.

Please explain what characteristics the hired person had that the others did not.

___________________________________________________________________________________________________

Profile of successful candidate: ________________ ________ ____________ ______________

(salary) (Male) (Female) Minority (yes/no)

Specific actions taken to identify minority candidates: ________________________________________________________

____________________________________________________________________________________________________

Names of the members of the search committee: ___________________________________________, Chair

______________________________________________ ____________________________________

Date completed: ___________________ By: _____________________________________________________________

C:HumanResources/HiringMgrSummaryReport