Developing a Self-Assessment Toolfor Culturally - Office of Minority ...

3. Please report or estimate what percentage of your employed staff, contractors, and partnershipmembers falls into the following racial groups.a. Black or African American .......................Record Percent%Actual Estimated~ ~b. Asian........................................%~~c. Native Hawaiian or other Pacific Islander . ...........%~~d. American Indian or Alaska Native .................%~~e. White .......................................%~~If reporting the actual percentage, what is the source used for your response? ~ Don’t know4. Please report or estimate what percentage of your employed staff, contractors, and partnershipmembers falls into the following ethnic group.a. Hispanic or Latino ..............................Record PercentActual Estimated% ~ ~If reporting the actual percentage, what is the source used for your response? ~ Don’t know5Please indicate for which of the following you keep data on linguistic capability (including signlanguage).MARK ALL THAT APPLY~ Employed staff~ Contractors~ Partnership members~ Don’t know~ None of the above6. How is the linguistic capability of your employed staff, contractors, and/or partnership membersdetermined?MARK ALL THAT APPLY~ Self-identification~ Proof of training completion or certification~ Testing~ Other, please specify _______________________________________COSMOS Corporation, December 2003 5