{"id":178,"date":"2011-07-29T09:41:59","date_gmt":"2011-07-29T13:41:59","guid":{"rendered":"https:\/\/extension.umaine.edu\/plugged-in\/?page_id=178"},"modified":"2025-06-12T12:21:00","modified_gmt":"2025-06-12T16:21:00","slug":"non-discrimination-sign-off-form","status":"publish","type":"page","link":"https:\/\/extension.umaine.edu\/plugged-in\/forms-templates-tools\/forms\/non-discrimination-sign-off-form\/","title":{"rendered":"Non-Discrimination Sign-Off Form"},"content":{"rendered":"<p>This form should be completed annually by individuals and groups who are gatekeepers for our programs. A gatekeeper is a person who can decide who can attend or participate in a club or in a workshop and who might be granted accommodation and who might not.<\/p>\n<p>Who should complete this form?<\/p>\n<ul>\n<li>All Extension volunteers including 4-H, Master Gardeners, and County Executive Committee members, Advisory Board members (such as the 4-H Foundation).<\/li>\n<li>Substantial collaborators such as community partners including, but not limited to: farms, businesses, non-profits, community groups.<\/li>\n<\/ul>\n<p>Please contact Alisha Targonski, <a href=\"mailto:alisha.r.targonski@maine.edu\" target=\"_blank\" rel=\"noopener\">alisha.r.targonski@maine.edu<\/a>\u00a0with questions.<\/p>\n<ul>\n<li><a href=\"https:\/\/umainesystem.sharepoint.com\/:w:\/s\/UM-OnlineDocs\/Edlck4uagNVBgwJS1qU6edcB7r67K3HMTVtBBJp3Nbf3hw?e=YtKC7p\" target=\"_blank\" rel=\"noopener\">Assurance of Non-Discrimination Form (SharePoint)<\/a><\/li>\n<\/ul>\n<p>Please print and distribute the above form, have it signed and placed in your office <a href=\"https:\/\/docs.google.com\/document\/d\/1txOZ9QqeObqicFlRKbRhpAUavmqu-sJw6I0FMcNj7xg\/edit?usp=drive_link\" target=\"_blank\" rel=\"noopener\">Civil Rights Shared Drive<\/a> folder.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This form should be completed annually by individuals and groups who are gatekeepers for our programs. A gatekeeper is a person who can decide who can attend or participate in a club or in a workshop and who might be granted accommodation and who might not. Who should complete this form? All Extension volunteers including [&hellip;]<\/p>\n","protected":false},"author":138,"featured_media":0,"parent":8955,"menu_order":9,"comment_status":"closed","ping_status":"closed","template":"templates\/page-withsidebar.php","meta":{"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-178","page","type-page","status-publish","hentry"],"taxonomy_info":[],"featured_image_src_large":false,"author_info":{"display_name":"Amanda Miles","author_link":"https:\/\/extension.umaine.edu\/plugged-in\/author\/amiles\/"},"comment_info":0,"_links":{"self":[{"href":"https:\/\/extension.umaine.edu\/plugged-in\/wp-json\/wp\/v2\/pages\/178","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/extension.umaine.edu\/plugged-in\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/extension.umaine.edu\/plugged-in\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/extension.umaine.edu\/plugged-in\/wp-json\/wp\/v2\/users\/138"}],"replies":[{"embeddable":true,"href":"https:\/\/extension.umaine.edu\/plugged-in\/wp-json\/wp\/v2\/comments?post=178"}],"version-history":[{"count":12,"href":"https:\/\/extension.umaine.edu\/plugged-in\/wp-json\/wp\/v2\/pages\/178\/revisions"}],"predecessor-version":[{"id":20833,"href":"https:\/\/extension.umaine.edu\/plugged-in\/wp-json\/wp\/v2\/pages\/178\/revisions\/20833"}],"up":[{"embeddable":true,"href":"https:\/\/extension.umaine.edu\/plugged-in\/wp-json\/wp\/v2\/pages\/8955"}],"wp:attachment":[{"href":"https:\/\/extension.umaine.edu\/plugged-in\/wp-json\/wp\/v2\/media?parent=178"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}