CONSENT ACKNOWLEDGEMENT
By submitting this application, you acknowledge that you have read and understand this disclosure, and that you consent to the collection and use of your information as described.
We collect information on this form to determine eligibility for the Native American Youth Internship Program, funded by Native American Health Centers. Your answers help us prioritize services for communities most impacted by economic or employment barriers, and to meet state and grant reporting requirements.
Individual data will only be used by program staff to verify eligibility and provide services. Aggregate, anonymous information may be used to share with the grant funder, evaluators, or other program reporting but you will not be personally identified.
You may choose “Prefer not to answer” for eligibility questions. Some information may be required to confirm eligibility, and not answering can impact your application approval.