Staff_Demographics_Response.xlsx

XLSX spreadsheet 17 KB Posted

Attached to
Community Empowerment and Crisis Response Services Master Agreement Request for Application
Solicitation number
BD-24-1022-DMH08-8210C-93112
Issued by
Massachusetts

About this file

This document is a Request for Application (RFA) from the Massachusetts Department of Mental Health (DMH) to establish a pool of qualified vendors to provide Community Empowerment and Crisis Response Services. The services will be purchased on an as-needed basis by DMH Area Directors and Central Office Division Heads to address the immediate and long-term mental health needs of communities exposed to trauma. The RFA does not provide details on item quantities, response dates, due dates, site visits, bidder's meetings and conferences, award dates, or the term of the contract including any renewal options.

The RFA does not include pricing terms, set asides, information about incumbents, funding requirements and sources, or any other salient information beyond the general description of the services being requested.

View the file

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Text version

Sheet1

Massachusetts Department of Mental Health
Community Empowerment and Crisis Response Services Master Agreement Request for Application
Staff Demographics Table
Organization/Individual Name:
RFR#:
INSTRUCTIONS: Please complete by entering the following:
1. The Applicant's Organization or Indivdiual Name in Cell B6.
2. The total FTEs (Full Time Equivalent Staff) for relevent staff positions in Columns C, D, and E only.
3. At least one ethnicity from the drop down menu in cells B36-B43.
Select one or more races from the list in Column B.STAFF#MANAGEMENT#OTHER#TOTAL#STAFF%MANAGEMENT%OTHER%TOTAL
RaceWhite0.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
Black/African American0.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
American Indian/Alaska Native0.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
Asian0.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
Hispanic/Latino White0.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
Hispanic/Latino Black0.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
Hispanic/Latino Other0.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
Native Hawaiian/Other Pacific Islander0.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
Other Race0.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
Two or More Races0.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
TOTAL0.000.000.000.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
Select one or more languages from the list in Column B.STAFFMANAGEMENTOTHERTOTAL
Langauge1. English0.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
(2nd most common language)0.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
(3rd most common language)0.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
(4th most common language)0.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
(5th most common language)0.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
TOTAL0.000.000.000.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
Select one or more ethnicities from the drop down list in Column B.STAFFMANAGEMENTOTHERTOTAL
Ethnicity0.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
0.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
0.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
0.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
0.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
0.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
0.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
0.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
TOTAL0.000.000.000.00ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!

Data_Table

ALBANIAN
AMERICAN - USA
ARMENIAN
BELGIUM
BHUTANESE
BOSNIAN
BRAZILIAN
BRITISH
BURMESE
CAMBODIAN
CANADIAN
CAPE VERDEAN
CHEROKEE
CHINESE
CHOOSES NOT TO SELF-IDENTIFY
COLOMBIAN
CONGOLESE
COSTA RICAN
CUBAN
DOMINICAN
DUTCH
EGYPTIAN
ERITREAN
ETHIOPIAN
FILIPINO
FRENCH
GREEK
GUATEMALAN
HAITIAN
HISPANIC, OTHER
HMONG
HONDURAN
INDIAN
IRANIAN
IRAQI
IRISH
ISRAELI
ITALIAN
JEWISH
JORDANIAN
JAPANESE
JEWISH
KOREAN
LAOTIAN
LEBANESE
LITHUANIAN
MEXICAN
MOROCCAN
MULTI-ETHNIC
NIGERIAN
NICARAGUAN
OTHER
PAKISTANI
PERUVIAN
PANAMANIAN
POLISH
PORTUGUESE
PUERTO RICAN
RUSSIAN
SALVADORAN
SCANDINAVIAN
SCOTTISH
SIOUX
SOMALI
SWEDISH
THAI
TIBETAN
TURKISH
UKRAINIAN
UNKNOWN
VENEZUELAN
VIETNAMESE
WAMPANOAG
WELCH
WEST INDIAN/CARIBBEAN

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