Equal Employment Opportunity Policy Statement
Development Information	
Minnesota Housing Development Number	     	
Project Name	     	
Project Address	     	
Total Number of Units	     	
Dollar Amount of Rehab $     	Dollar Amount of Project $     	

Owner/Sponsor Information	
Owner/Sponsor Name	     	
Phone Number	     	
Black, Indigenous, or person of color Owner?	  No      Yes, please enter racial/ethnic code:  	     	

Development Team Information	
Equal Employment Opportunity Officer Name	     	
Phone Number	     	
General Contractor or Architect Name	     	
Phone Number	     	
Black, Indigenous, or person of color General Contractor or Architect?	  No     Yes, please enter racial/ethnic code:  	     	

Racial/Ethnic Codes	
1.  Black or African American	2.  Asian
3.  American Indian or Alaskan Native 	4.  Native Hawaiian or Other Pacific Islander
5.  Hispanic or Latino	

Policy Statement	
I hereby certify that it is the policy of the undersigned to comply with all existing laws prohibiting discrimination in all aspects of employment due to race, color, creed, sex, age, religion, familial status, sexual orientation, national origin, marital status, status with regard to public assistance, or disability. This shall be accomplished substantially by the following actions: Nondiscrimination in RECRUITING, HIRING, TRAINING, PROMOTING, SUBCONTRACTING, DEMOTION, LAYOFF, and/or TERMINATION. Whenever possible, the undersigned will also take affirmative action to include in its workforce Black, Indigenous, and people of color, women, and those who are disabled.	

     	     	
Owner or General Contractor or Architect Signature (entity completing form)	Date	

	     	
Equal Employment Opportunity Officer Signature	Date	
Minnesota Housing Finance Agency (Minnesota Housing) is committed to fair housing and equal opportunity in employment. Anyone that does business with Minnesota Housing is required to share this commitment.