Assurance of Non-Discrimination Status

I/We confirm that we do not discriminate on the grounds of race, color, religion, sex, sexual orientation, including transgender status and gender expression, national origin, citizenship status, age, disability, genetic information or veteran’s status in employment, education, and all other programs and activities. To ensure participation in Extension programs, reasonable accommodations will be provided. I understand that I/we will work with the appropriate Extension staff member to provide accommodations.

Date*
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Name of Volunteer or Group*
Email*
Enter Email Confirm Email
County*
Electronic Signature:*
Please type your First and Last Name
First Last
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- I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above terms.
If you do not see the Submit button, go back and select your county from the County dropdown menu above.
Name
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And Justice for All poster — Click the image above to download a PDF copy of the full-sized 11 x 17″ poster. (Poster transcript)

Plugged In: For UMaine Extension Staff and Volunteers

Assurance of Non-Discrimination Status

If you do not see the Submit button, go back and select your county from the County dropdown menu above.