Non-Discrimination Policy Statement

As a recipient of Federal financial assistance, the (Name of provider) does not exclude, deny benefits to, or otherwise discriminate against any person on the ground of race, color, national origin, age, sex, religion or disability in admission to, participation in, or receipt of the services and benefits of any of its programs and activities or in employment therein, whether carried out by (Name of provider) directly or through a contractor or any other entity with whom the (Name of provider) arranges to carry out its programs and activities.

(Name of provider) does not discriminate against any person on the basis of race, color, national origin, disability, sex or age in admission, treatment, or participation in its programs, services and activities, or in employment. No person shall be excluded from participation in, or be denied the benefits of any service, or be subjected to discrimination because of race, color, nationality, religion, sex, age, disability.

In case of questions concerning this policy, or in the event of a desire to file a complaint alleging violations of the above, please contact:

Provider Name:
Coordinator:
Telephone number:
TDD: