State of Connecticut Comptroller's Requests for Proposals CONNECTICUT STATE EMPLOYEES RETIREMENT COMMISSION REQUEST FOR PROPOSAL CONSULTING SERVICES FOR EMPLOYEE BENEFIT STATEMENTS Attachment I

State of Connecticut

This page was last updated on: June 22, 2015

CONNECTICUT STATE EMPLOYEES
RETIREMENT COMMISSION
REQUEST FOR PROPOSAL
CONSULTING SERVICES FOR
EMPLOYEE BENEFIT STATEMENTS

Attachment I

STATE OF CONNECTICUT
EMPLOYMENT INFORMATION FORM COMMISSION ON HUMAN RIGHTS & OPPORTUNITIES
WORKFORCE ANALYSIS AFFIRMATIVE ACTION REPORT

BIDDER/CONTRACTOR
 CONTACT PERSON
 DATE
ADDRESS
 PHONE NUMBER
 CONTRACT AWARD NUMBER

Report all permanent full-time or part-time employees, including apprentice and on-the-job trainees. Enter the numbers on all lines and in all columns.

JOB CATEGORIES OVERALL TOTALS
(Sum of all Columns,
A thru E
Male and Female)		 A
WHITE (NOT OF
HISPANIC ORIGIN) 		B 
BLACK (NOT OF HISPANIC ORIGIN) 		C 
HISPANIC 		D 
ASIAN OR PACIFIC ISLANDER 		E 
AMER. INDIAN OR ALASKAN NATIVE
MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE
Officials and Managers                      
Professionals                      
Technicians                      
Sale Workers                      
Office and Clerical                      
Craft Workers
(Skilled) 		                     
Operatives
(Semi-skilled)
                   
Laborers
(Unskilled) 		                     
Service
Workers 		                     
TOTALS
ABOVE 		                     
Do you use minority businesses as subcontractors or suppliers?  YES check box NOcheck box Explain:
If Ct. based, do you post all employment openings with the State of Connecticut Employment Service? YES check boxNOcheck box Explain:
Do you implement a written Affirmative Action Plan? YES check box NOcheck box Explain:
DESCRIBE YOUR RECRUITMENT, HIRING, TRAINING AND PROMOTION ANTIDISCRIMINATION PRACTICES

RMF/emv:042500 Bid Employ Chart

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