4-H Club Civil Rights Compliance Statement
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EmailMichigan 4-H clubs are required to sign the 4-H Club Civil Rights Compliance statement.
Michigan State University Extension _______________ County 4-H Youth Program
Civil Rights Compliance Statement
Name of Group (Club):
________________________________________________________________________
Primary Location:
____________________________________________________________________________
I understand that the use of the 4-H name and emblem is granted on the basis that membership in
the group named above is open to all without regard to race, color, national origin, gender,
gender identity, religion, age, height, weight, disability, political beliefs, sexual orientation,
marital status, family status or veteran status.
_____________________________________________
Signature of Club Coordinator
_____________________________________________
Date
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. Michigan State University Extension programs and materials are open to all without regard to race, color, national origin, gender, gender identity, religion, age, height, weight, disability, political beliefs, sexual orientation, marital status, family status or veteran status. Issued in furtherance of MSU Extension work, acts of May 8 and June 30, 1914, in cooperation with the U.S. Department of Agriculture. Quentin Tyler, Director, MSU Extension, East Lansing, MI 48824. This information is for educational purposes only. Reference to commercial products or trade names does not imply endorsement by MSU Extension or bias against those not mentioned.
DM 9/21
