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STATE OF WASHINGTON JUSTICE ASSISTANCE GRANT <br /> DEPARTMENT OF COMMERCE FORM 11 <br /> Office of Civil Rights Compliance Checklist <br /> A. Federally-Mandated Activities: Equal Opportunity Program <br /> 1. EEOP total exemption criteria: Yes No Yes No N/A <br /> a. Recipient agency(total agency/jurisdiction, not just applying <br /> component) has less than 50 employee <br /> b. Recipient agency is an educational institution <br /> c. Recipient agency is an Indian Tribe <br /> d. Recipient agency is a medical institution <br /> e. Recipient agency is a non-profit organization <br /> f. Recipient agency's award is less than $25,000 <br /> 9. Recipient agency's award is less than $500,000 <br /> Totally Exempt? Is any complete exemption factor above (la. thru 1f.) a <br /> "Yes"? In comments enter"EEOP Total Exemption" or" EEOP Required" <br /> 2. If totally EEOP exempt recipient agency has certified it is so exempt and that it <br /> will comply with applicable Federal civil rights laws that prohibit discrimination in <br /> employment and in the delivery of services <br /> Not Totally Exempt: <br /> 3. If the award is for$500,000 or more, EEOP submission made to the USDOJ <br /> Office of Civil Rights <br /> 4. Was the EEOP submitted to COMMERCE <br /> 5. Approval and Expiration dates Effective: Expiration: <br /> 6. EEOP is available for review <br /> 7. If the award is for less than $500,000 EEOP Certification Form has been <br /> submitted to COMMERCE <br /> 8. EEOP has been formulated and signed into effect within the past two (2) years <br /> Generic Civil Rights Compliance(Non-EEOP): <br /> 9. How does the agency notify program participants and beneficiaries that it Job Announcements <br /> does not discriminate on the basis of race, color, national origin, religion, Web Site <br /> sex, sexual orientation, gender identity, disability, and age in the delivery <br /> of services (e.g. posters, inclusion in brochures or other program Posters <br /> materials, etc.) <br /> Other(specify): <br /> 27 <br />