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Minnesota Department of Transportation EEO Special Provisions <br />Office of Civil Rights <br />INSTRUCTIONS FOR EEO-12 <br />CONTRACTOR EMPLOYMENT DATA <br />Revised 07/12 <br />This form should be submitted at the Pre -Con to the Project Engineer prior to the start of your first MnDOT <br />construction project for the calendar year (Prime and Subs) <br />1. Contractor Name and Address self-explanatory. <br />2. Employment Data information will coincide with your employment records. <br />2a. Name should be listed First Name, Middle Initial, and Last Name. This will enable MnDOT EEO staff to <br />readily identify individuals on all projects. <br />2b. Social Security Number self-explanatory. <br />2c. New Hire is to be indicated with a "Y" for Yes or an "N" for No. "New Hire" is an employee who has not <br />worked for you in any capacity or on any other project within the current calendar year. <br />2d. Ethnicity can be indicated by Black (B), Hispanic (H), American Indian/Alaskan Native (AI), <br />Asian/Pacific Islander (AP), or White (W). <br />2e. Gender is to be indicated with an "M" for Males or an "F" for Females. <br />2f. Trade/Foreman. Supervisors. Mananers self-explanatory. List trade that applies unless the employee fits <br />one of the other three categories. <br />2g. Level "A" is for an Apprentice, "J" is for a Journey Worker, and "T" is for a MnDOT approved Trainee. <br />If you have questions about filling out this form, contact the Office of Civil Rights at (651) 366-3073. <br />(Please make copies as you need them.) <br />This information can be submitted electronically via the web, through MnDOT's Work force Information Tracking <br />Initiative (WITI) Program. To open a free account to gain access to WITI or to find out more about this possibility <br />please contact MnDOT's Office of Civil Rights at (651) 366-3015. <br />EEO-12 Rev. 05/09 <br />EEO Page 19 <br />