The following information is requested by the Federal Government in order to monitor compliance with Federal Laws prohibiting discrimination against applicants seeking to participate in this program. 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 choose not to furnish it (please leave the fields blank), we are required to note the race/national origin of individual applicants on the basis of visual observation or surname.
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
The PA Wilds Center for Entrepreneurship (PA Wilds Center) is a 501(c)3 nonprofit organization. The official registration and financial information of PA Wilds Center may be obtained from the Pennsylvania Department of State by calling toll-free, within Pennsylvania, 1-800-732-0999. Registration does not imply endorsement.
This organization is an Equal Opportunity Provider.
Learn more: PAWilds.com | WildsCoPa.org | ShopThePaWilds.org