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Annual Certification of Compliance

Lincoln University Cooperative Extension

Civil Rights Compliance

Annual Certification of Compliance for 4-H and

Other Youth Development Groups

Satellite Office/Area: ________________________

Name of Group______________________________

I have reviewed the Affirmative Action Plan to achieve integrated clubs/groups where integration is possible but not achieved and certify that efforts are being made to bring clubs/groups into compliance with the Civil Rights requirements as outlined in the Affirmative Action Plan for Lincoln University Cooperative Extension.

__________________________________  _________________

Satellite Coordinator                                                Date

Complete form and include with area Affirmative Action files.  Forward copies to the 4H State Specialist and the Associate Extension Administrator.