CR-1409 (11/11)
NEW JERSEY DEPARTMENT OF TRANSPORTATION

DIVISION OF CIVIL RIGHT / AFFIRMATIVE ACTION

CONTRACTOR’S 1409 QUARTERLY TRAINING REPORT
1st Quarter	Due Date	2nd Quarter	Due Date	3rd Quarter	Due Date	4th Quarter	Due Date
January 1

to March 30	April 10	April 1 to

June 30	July 10	July 1 to September 30	October 10	October 1 to December 31	January 10
1.	Project:	Federal Project Number:
2.	Contractor:	Subcontractor:
3.	Trainee Name:
4.	Trainee Address:
5.	Social Security # (last 4 digits)
6.	Employee Status	New Hire
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7.	Ethnic Group	Black	Hispanic	Asian / Pacific Islander
Native American (Indian) / Alaskan Native	Caucasian / Portuguese
8.	Sex	Male	Female
9.	Current Training Program
10.	Type of Training	Apprenticeship	Laborer	Clerical
11.	Training Start Date:
Last Training Date:
Hours of Training Data	January to March

2___	April to June

2___	July to September

2___	October to December

2___
12. Given this Quarter
13. Given to Date
14. Needed to Complete
15. Training Progress:	Active	Laid Off	Transferred	Quit
Terminated	Other	No More Work	Completed
16. Trainee Signature:
Date
17. Contractor Signature:
Date
18. RE Signature:
Date

NOTE: ATTACH COPIES OF LAST BIWEEKLY/TRAINING CERT. TO FINAL 1409.

NJDOT Contractor's Quarterly Training Report

NJDOT Quarterly report for training of minority groups

New Jersey Department of Transportation Quarterly Report, Contractor, CR1409,Enthic Group

Administrator

2012-02-27

NJDOT