Please read the Tennessen Warning Notice below and the equal opportunity information. Please sign the bottom.
The data we are asking you to provide about yourself is considered private data by Minnesota Statute 13.47 subdivision 2. In order to collect and use this data we must tell you why we need the data, how we intend to use it and any consequences you may experience if you supply the information or not.
Why we need your personal data.
Your Social Security Number is requested to identify you as a unique individual and to find out wage data to help us determine how well our services helped you.
Personal characteristics: age, gender, ethnicity, race, disability, and economic status is collected to evaluate our performance and in some cases to determine if you’re eligible for special assistance.
Veteran status is asked to determine if you are eligible for special services and to evaluate our service delivery.
Work and education history is used to help you plan your employment and training.
How we intend to use the data and to whom we may share this information:
Work and education history may be shared with prospective employers. In addition to analyzing this data to improve our services, we may share information about you with other employment and training service providers in order to determine what services you may be eligible for and to coordinate services provided to you. Data may be shared with federal and state entities that provide funding for workforce center services. Additionally, other government entities with a legal right to this data may see your information.
Consequences to you if you choose to not provide this information.
You may refuse to supply any or all of this information, you are not legally required to provide any of this information to use workforce development services, not supplying sufficient information may limit our ability to provide you the services you want.
For more information:
DEED Data Practices www.deed.state.mn
Minnesota Data Practices Act www.resivor.leg.state.mn.us/stats/13/
Minnesota Department of Administration Information Policy Analysis Division
Equal Opportunity is the Law
We consider applicants without regard to race, color, creed, religion, national origin, age, sex, political affiliation, or belief, marital status, disability, sexual orientation, or status with regard to public assistance. It is our policy to abide by all federal, state, and local laws concerning discrimination.
Complaint and appeal policy:
If you feel that anyone in our office has treated you unfairly, you have the right to file a complaint. If you have been denied services, you have the right to appeal. If you wish to file a formal complaint or an appeal, please see a staff member for assistance.
I have been made aware of and understand this Tennessen Warning notice. (If you do not understand this statement, please ask that a staff member explain it to you.) I agree that the information on this form may be shared among Minnesota Workforce Center agencies for the purpose of helping me find employment or training. I was presented and have read the equal opportunity information on the Notice to the Public Equal Opportunity is the Law. I also understand that I have the right to file a complaint of discrimination.