Common Contracts
3 similar Service Application and Agreement contracts
SERVICE APPLICATION AND AGREEMENTService Application and Agreement • November 1st, 2023
The following information is requested by the Federal Government in order to monitor compliance with Federal laws prohibiting discrimination against applicants seeking to participate in this program. You are not required to furnish this information, but are encouraged to do so. This information will not be used in evaluating your application or to discriminate against you in any way. However, if you choose not to furnish it, we are required to note the race/national origin of individual applicants on the basis of visual observation or surname. □ White, Not of Hispanic Origin □ Black, Not of Hispanic Origin □ American Indian or Alaskan Native □ Hispanic □□ Asian or Pacific Islander □ Other(Specify) □ Male□ Female
SERVICE APPLICATION AND AGREEMENTService Application and Agreement • January 7th, 2022
The following information is requested by the Federal Government in order to monitor compliance with Federal laws prohibiting discrimination against applicants seeking to participate in this program. You are not required to furnish this information, but are encouraged to do so. This information will not be used in evaluating your application or to discriminate against you in any way. However, if you choose not to furnish it, we are required to note the race/national origin of individual applicants on the basis of visual observation or surname. □ White, Not of Hispanic Origin □ Black, Not of Hispanic Origin □ American Indian or Alaskan Native □ Hispanic □□ Asian or Pacific Islander □ Other(Specify) □ Male□ Female
SERVICE APPLICATION AND AGREEMENTService Application and Agreement • December 27th, 2017
The following information is requested by the Federal Government in order to monitor compliance with Federal laws prohibiting discrimination against applicants seeking to participate in this program. You are not required to furnish this information, but are encouraged to do so. This information will not be used in evaluating your application or to discriminate against you in any way. However, if you choose not to furnish it, we are required to note the race/national origin of individual applicants on the basis of visual observation or surname. □ White, Not of Hispanic Origin □ Black, Not of Hispanic Origin □ American Indian or Alaskan Native □ Hispanic □ Asian or Pacific Islander □ Other(Specify) □ Male□ Female
