2021 Civil Rights Training Confirmation

2021 Civil Rights Training Confirmation

for North Country agencies and partners
Please enter your information below to verify your completion of civil rights training for 2021. If you have any questions, please contact April at 218-399-7360 or april@northcountryfoodbank.org
Agency or Program*
Name*

First NameLast Name
Email
Please answer the following questions:
Frontline staff and volunteersAnyone who interacts with applicants or participantsAnyone who handles personal information or eligibility determinationAll of the above
RaceColorNational OriginAgeSexDisabilityAll of the aboveNone of the above
YesYes, but only if it is another agencyNo, it is NEVER ok
Yes, it will make the agency look badNo, everyone has a right to file a complaint
Make them bring someone that doesProvide language assistance for them
Only one timeOnce a yearOnce every 2 years
Signature
Date

MonthDayYear
Should be Empty: