Applicant Log

State Title: Department:

Working Title: Requisition No.:

Date	Name	Sex	Race	Veteran	Referral Source	Interviewed		Disposition
						Yes	No

LEGEND:		DISPOSITION:
A – Native American or Alaskan Native	V – Cape Verdean	H – Hired (Completed by AA/EO Office)
B – Black	O – Other	O – Offered, did not accept (Completed by EOD)
C – Caucasian	M – Veteran	MQ – Met Minimum Advertised Qualifications, but less qualified than applicant(s) offered position
R – Asian or Pacific Islander	U – Unknown
S – Hispanic		NQ – Not Qualified, did not meet minimum advertised qualifications
		W – Withdrew
		P – Pool, refers only to searches approved to develop candidate pools for future offers

EOD 10/00

Applicant Log, Continued

State Title Department

Working Title Requisition No.

Date	Name	Sex	Race	Veteran	Referral Source	Interviewed		Disposition
						Yes	No

EOD 10/00