Asian or Pacific Islander. Persons having origin in any of the original peoples of the Far East, Southeast Asia, the Indian Sub-continent or the Pacific Islands. This area includes for example, China, Japan, Korea, the Philippine Islands and Samoa.
Asian or Pacific Islander. Hispanic Total How services provided benefit clientele Projection for next disbursement period Program Income Report/Blank Statement (when applicable) Other significant Information ALL UNSPENT CDBG FUNDS WILL BE RETURNED TO THE RESPECTIVE CITY OR PRECINCT AT THE END OR TERMINATION OF THIS AGREEMENT.
Asian or Pacific Islander. “This is an Equal Opportunity Program. Discrimination is prohibited by Federal Law. Complaints of discrimination may be filed with the Xxxxxxxxx xx Xxxxxxxxxxx, Xxxxxxxxxx, X.X. 00000.”
Asian or Pacific Islander descended from any of the original peoples of the Far East, Southeast Asia, the Indian subcontinent, or the Pacific Islands;
Asian or Pacific Islander. Persons having origin from any of the original peoples of the Far East, Southeast Asia, the Pacific Islands or the Indian subcontinent including, for example, China, Japan, Korea, the Philippines, Samoa, India or Pakistan. • Hispanic: All persons of Mexican, Puerto Rico, Cuban, Central or South America or other Spanish culture or origin, regardless of race. • American Indian or Alaskan Native: Persons having origins in any of the original peoples of North America and who maintain cultural identification through tribal affiliation or community recognition. By signing below I am verifying the above stated information is accurate to the best of my knowledge Signature: Date: / / VOLUNTEER HANDBOOK ACKNOWLEDGEMENT By signing below, I acknowledge that I have been provided access to the Y Volunteer Handbook via the YMCA of Metropolitan Milwaukee intranet, located at xxxx://xxxxxxxx.xxxxxxx.xxx . I acknowledge that I do know how to access the site and the handbook, or that I may request a printed copy for my records from my volunteer sponsor. I also understand that by signing this statement I understand that it is my responsibility as a volunteer of the Y to comply with policies, rules, and regulations set forth in the handbook by the YMCA of Metropolitan Milwaukee.
Asian or Pacific Islander. All persons having origins in any of the original peoples of the Far East, Southeast Asia, the Indian subcontinent, or the Pacific Islands. This area includes China, India, Japan, Korea, the Philippine Islands, and Samoa. American Indian or Alaskan Native- All persons having origins in any of the original peoples of North America, and who maintain cultural identification through tribal affiliation or community recognition. White (not of Hispanic Origin)- All persons having origins in any of the original peoples of Europe, North Africa, or the Middle East. Xxxxx(not of Hispanic Origin)- All persons having origins in any of the Black racial groups of Africa. Hispanic- All persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. BIDDER CONTRACT COMPLIANCE MONITORING REPORT PART I - Bidder Information (Page 3) Company Name Street Address City & State Chief Executive Bidder Federal Employer Identification Number Or Social Security Number Major Business Activity (brief description) Bidder Identification (response optional/definitions on page 1) -Bidder is a small contractor. Yes No -Bidder is a minority business enterprise Yes No (If yes, check ownership category) Black Hispanic Asian American American Indian/Alaskan Native Iberian Peninsula Individual(s) with a Physical Disability Female - Bidder is certified as above by State of CT Yes No - DAS Certification Number Bidder Parent Company (If any) Other Locations in Ct. (If any) PART II - Bidder Nondiscrimination Policies and Procedures
Asian or Pacific Islander. A person having origins in any of the original peoples of the Far East. Southeast Asia, the indian subcontinent, or the Pacific islands. This area includes, for example, China, India, Japan, Korea, the Philippine Islands, and Samoa. [_] Black, not of Hispanic origin. A person having origins in any of the black racial groups of Africa. [_] Hispanic. A person of Mexican, Puerto Rican, Cuban. Central or South American, or other Spanish culture or origin, regardless of race. [X] White, not of Hispanic origin. A person having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Asian or Pacific Islander. “ This is an equal Opportunity Program. Discrimination is prohibited by Federal Law. Complaints of discrimination may be filled with the Secretary of Agriculture, Washington, D.C. 20250 Office Use Only
Asian or Pacific Islander. A person having origins in any of the original peoples of the Far East, Southeast Asia, the Indian Subcontinent, or the Pacific Islands. This area includes, for example, China, Japan, Korea, the Philippine Islands and Samoa. This is an Equal Opportunity Program. Discrimination is prohibited by Federal Law. Complaints of discrimination may be filed with the Secretary of Agriculture, Washington, D.C. 29250 “Equal Opportunity Program”
Asian or Pacific Islander. Hispanic Total How services provided benefit clientele Program Income Report/Blank Statement (when applicable) Other significant Information Grant Category breakdown (Ex: Rapid Re-Housing $ , Homeless Prevention $ , Shelter $ ).
