A signed agreement must be on hand for each organization or group with which we cooperate. Several examples are below:

 

A:

MSU Extension has a non-discrimination policy that requires assurance of non-discrimination in the conduct of all Extension educational programs.  This plan is designed to meet the requirement of civil rights compliance based on the Civil Rights Laws.

As stated in the non-discrimination policy and required by standards established by the United States Department of Justice, MSU Extension cannot provide assistance to any organization that excludes any person from membership or participation because of race, color, national origin, religion, sex, age or disability.

  Signed (all parties involved):

 

  

cc:   Organization

        County Extension Civil Rights File

+++++++++++++++++++++++++++++++++++++++

B:

Date:  

 

To:

 

MSU Extension values the partnership with you and our commitment to civil rights as an agency funded in part by federal USDA funding. To verify that we are true to our values and to document our efforts for our federal partner, we also need to ask those who partner with us to certify they do not discriminate. Therefore, organizations receiving MSU Extension services and materials and organizations that collaborate with MSU Extension to deliver educational programs are asked to complete and return this form. We thank you for your time and effort in completing this form.

MSU is an affirmative-action, equal-opportunity employer, committed to achieving excellence through a diverse workforce and inclusive culture that encourages all people to reach their full potential. Montana State University Extension programs and materials are open to all regardless of their race, color, national origin (ancestry), sex, sexual preference/orientation, gender identity, marital or parental status, age, creed, religion or political beliefs, mental or physical disability, genetic information or status as a veteran.   

As part of its Civil Rights responsibilities, MSUE is obligated by The United States Department of Agriculture (USDA) to have an annually signed statement of non-discrimination from organizations using its services and/or collaborating to deliver programs. Because of this mandate and the foregoing Equal Opportunity statement, MSU Extension cannot offer substantive assistance to, or program with, organizations that are not open to all on the same basis as MSUE.

 

____________________________________________________________

(MSUE employee contact information; include name, title, address, email and phone)

(Example: John Smith, Extension Educator, PO Box 222, Bozeman, MT 59717 [email protected])

CERTIFICATION:

Organization Name: _________________________________________________________________

Print Name and Title: ________________________________________________________________

Authorized Signature: ________________________________________________________________

Date

 

C:

Assurance of Nondiscrimination

 

In compliance with its Civil Rights policies, Montana State Extension must have written evidence that it does not conduct programs for, nor cooperate in conducting programs with, any public or private agency, organization, or group that discriminates on the basis of race, color, national origin, gender, religion, age, veteran status, political beliefs, sexual orientation, marital or family status, or physical or mental disability in its membership requirements, or in any services offered.

For the purpose of fulfilling this requirement, please read, sign, and return the statement below.  If your group is one that does not allow membership or participation of both sexes, please strike out the word “sex,” and sign the statement without that provision.

This is to certify that                                                                        has a policy and/or practice of non-discrimination in its membership or in any services offered because of race, color, national origin, handicap, or sex.

 

                                                            Signature                                                                  

Position                                                                     

Date                                                                          

 

 

 

This institution is an equal opportunity provider.

 

 

 

 

The U.S. Department of Agriculture (USDA), Montana State University and the Montana State University Extension Service prohibit discrimination in all of their programs and activities on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, and marital and family status. Issued in furtherance of cooperative extension work in agriculture and home economics, acts of May 8 and June 30, 1914, in cooperation with the U.S. Department of Agriculture, Cody Stone, Executive Director of Extension, Montana State University, Bozeman, MT 59717.