Position Filled Report
Final Report of Faculty, Administrative, or Professional Staff Vacancies
Title of PositionPosition Code:
Department: Date of Hire:
Yes No
Position Filled:
If No, Why:
If Other, explain:
If yes, Name of Person Hired:
Date Position Duties Commence:Highest Degree Held:
If No, Future Action for Position
Vacancy:
Date:
Specific Reason
this applicant
was selected:
Total Number of Applications Received: Total Number of Applicant Surveys Completed:
Total Number of Applicants Interviewed: Total Number Interviewed Completed Survey:
Place Number of All Applicants in Appropriate Boxes
Total Male Applicants:
Total Female Applicants:
Ethnicity Male Female
Black or African American
American Indian or Alaskan Native
Asian
Hispanic
White
Native Hawaiian/Pacific Island
Other/Not Known
Submit by E-mail
Print Form
1. Number of Applicants Rejected by Reason:
(b.) Uncertain teaching potential:(a.) Insufficient academic achievement:
(c.) Uncertain research potential in field: (d.) Insufficient specialization or breadth for field to be covered:
(e.) Other specified
reasons:
Ethnicity Male Female
Black or African American
American Indian or Alaskan Native
Asian
Hispanic
White
Native Hawaiian/Pacific Island
Other/Not Known
Ethnicity Male Female
Black or African American
American Indian or Alaskan Native
Asian
Hispanic
White
Native Hawaiian/Pacific Island
Other/Not Known
Ethnicity Male Female
Black or African American
American Indian or Alaskan Native
Asian
Hispanic
White
Native Hawaiian/Pacific Island
Other/Not Known
Ethnicity Male Female
Black or African American
American Indian or Alaskan Native
Asian
Hispanic
White
Native Hawaiian/Pacific Island
Other/Not Known
Ethnicity Male Female
Black or African American
American Indian or Alaskan Native
Asian
Hispanic
White
Native Hawaiian/Pacific Island
Other/Not Known
2. Number of Offers tendered: 3. Number of offers rejected:
Office in which all advertisements, screening, selection, and hiring records for this appointment may be reviewed:
Person Responsible for Selection
Title
Date
E-mail completed report to the affirmative action office
Please keep a copy of this report for your files
Ethnicity Male Female
Black or African American
American Indian or Alaskan Native
Asian
Hispanic
White
Native Hawaiian/Pacific Island
Other/Not Known
Ethnicity Male Female
Black or African American
American Indian or Alaskan Native
Asian
Hispanic
White
Native Hawaiian/Pacific Island
Other/Not Known