Common Contracts
3 similar Service Application and Agreement contracts
MEDINA WATER SUPPLY CORPORATION SERVICE APPLICATION AND AGREEMENTService Application and Agreement • July 30th, 2024
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. Ethnicity: not Hispanic or Latino Race: White Hispanic or Latino Black or African American American Indian/Alaska NativeGender: Male Asian Female Native Hawaiian or Other Pacific Islander
MEDINA WATER SUPPLY CORPORATION SERVICE APPLICATION AND AGREEMENTService Application and Agreement • May 8th, 2024
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. Ethnicity: not Hispanic or Latino Race: White Hispanic or Latino Black or African American American Indian/Alaska NativeGender: Male Asian Female Native Hawaiian or Other Pacific Islander
MEDINA WATER SUPPLY CORPORATION SERVICE APPLICATION AND AGREEMENTService Application and Agreement • November 18th, 2021
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. Ethnicity: not Hispanic or Latino Race: White Hispanic or Latino Black or African American American Indian/Alaska NativeGender: Male Asian Female Native Hawaiian or Other Pacific Islander
