The U.S. Equal Employment Opportunity Commission

Sample
SF 100 - Page 2

Section D - EMPLOYMENT DATA

Employment at this establishment - Report all permanent full- and part-time employees including apprentices and on-the-job trainees unless specifically excluded as set forth in the instructions. Enter the appropriate figures on all lines and in all columns. Blank spaces will be considered as zeros.

Job Categories Number of Employees
(Report employees in only one category)
Race/Ethnicity
Hispanic or Latino Not-Hispanic or Latino Total
Col
A - N
Male Female
Male Female White Black or African American Native Hawaiian or Other Pacific Islander Asian American Indian or AlaskaNative Twoor more races White Black or African American Native Hawaiian or Other Pacific Islander Asian American Indian or AlaskaNative Twoor more races
A B C D E F G H I J K L M N O
Executive/Senior Level Officials and Managers
1.1














First/Mid Level Officials and Managers
1.2














Professionals
2














Technicians
3














Sales Workers
4














Administrative Support Workers
5














Craft Workers
6














Operatives
7














Laborers and Helpers
8














Service Workers
9














Total
10














Previous Year Total
11














1. Date(s) of payroll period used: ______________________________ (Omit on the Consolidated Report.)

O.M.B. No. 3046-0007
Revised 01/2006
Approval Expires 1/2009

This page was last modified on January 27, 2006.

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