Community Development Grants Administration

YEAR 2016- EQUAL EMPLOYMENT OPPORTUNITY(EEO-1) Form

Employment Data on Employees Of Agencies Receiving Federal Funds (Required for agencies receiving Federal funds)

Number of Employees (report Employees in only one category) Race/Ethnicity JOB CATEGORIES Hispanic or Not Hispanic or Latino Total of (see descriptions on back) Latino Male Female Columns Male Female White Black or Native Asian American Two or White Black or Native Asian American Two A-N African Hawaiian Indian or More African Hawaiian Indian or or American or other Alaska races American or other Alaska More Pacific native Pacific native races Islander Islander A B C D E F G H I J K L M N O Executive/Senior Level Officials and Managers

Mid-Level Officials and Managers

Professionals

Technicians

Sales Workers

Administrative Support Workers

Craft Workers

Laborers and Helpers

Service Workers TOTAL

Agency Name ______Address______

Name of Certifying Official ______Title ______Phone ______

OMB No. 3048-0007