• Office of Migrant Services Application for Admission (Solicitud Para Admision)

    Westley Migrant Center
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  • Permanent Residence / Residencia Permanente

  • I/we, the undersigned, hereby certify that to the best of my/our knowledge the information set forth above is true, accurate and complete and I/we hereby authorize verification of same by the project owner and/or agent.


    Yo/nosotros, los firmantes por la presente afirmo/afirmamos que a nuestro cnocimiento la información establecida anteriormente es veridica, correcta y completa, y con esto yo/nosotros autorizó/autorizamos verificación por el dueño de este proyecto y/o su comisionado.

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  • *The information solicited on this application is requested by the apartment owner to assure the Federal Government, acting through its U.S.D.A. Rural Development, that Federal laws prohibiting discrimination against tenant applicants on the basis of race, color, national origin, religion, sex, familial status, age and handicap are complied with. 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 furnish it, the owner is required to note the race/national origin and sex of the individual applicants on the basis of visual observation or surname.
    La informacion solicitada en esta solicitud es a petición del dueño de la vivienda para asi asegurar al govierno federal que esta actuando por medio del U.S.D.A. Rural Development, las leyes federales prohiben la discriminacion contra solicitantes por causa de raza, color, origen nacional, religion, sexo, estado civil, edad, o por incapacidad fisica. No se require que usted presente esta informacion, pero se la anima a que lo haga. Esta información no sera usada para evaluar su solicitud o para discriminar contra usted de ninguna manera. Sin embargo, si usted elije no darla, el dueño es requerido que anote la raza u origen nacional, y el sexo de los solicitantes por medio de la observación o por el apellido.
    I have reviewed the above Application for Admission completed by the applicant(s) along with any Attachments and supporting documents presented, verified per governing regulation(s) and have determined the applicant(s) and his/her household are eligible for admission to the Patterson Migrant Center.

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