Equal Employment Opportunity 
Policy Statement	

Development Information	
Minnesota Housing Development Number	     	
Development Name	     	
Development Address	     	
Total Number of Units	     	
Dollar Amount of Rehab $     	Dollar Amount of Project $     	

Property Owner Information	
Property Owner Name	     	
Phone Number	     	
Minority Property Owner?	  No      Yes, please enter racial/ethnic code:  	     	

Development Team Information	
Equal Opportunity Officer Name	     	
Phone Number	     	
Business Name	     	
Phone Number	     	
Minority Business?	  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, we will also take affirmative action to include in our workforce minorities, females, and those who are disabled.	

	     	
Developer or Sponsor Signature 	Date	
Printed Name:      	Company:      	

	     	
Equal Opportunity Officer Signature (entity completing form)	Date	
Printed Name:      	Company:      	

Minnesota Housing Finance Agency (Minnesota Housing) is committed to equal housing and equal employment opportunity. Anyone that does business with Minnesota Housing will be required to share this commitment. Equal Opportunity Housing and Equal Opportunity Employment.