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r <br /> \ U L PUBLIC <br /> �� ALLIES <br /> Now Lcadcrship for New Ttmes <br /> 1. Statement of Non - Displacement <br /> As a representative of a Partner Organization of Public Allies, 1 acknowledge that <br /> my organization is not displacing an employee or position, nor reducing hours, <br /> wages or employee benefits as a result of hosting any Public Allies AmeriCor s <br /> member /s. <br /> J 4 ,, ... 4.''ZOIo <br /> Signature of Partner rganization Representative Date <br /> I <br /> I ' <br /> Silvi • 6nd linden, City Clerk <br /> 11. Statement of Union Consent <br /> Federal regulations state that wherever AmeriCorps members are serving in <br /> organizations where they are performing job functions that are substantially <br /> similar to those of employees represented by a labor union, union consent is <br /> required in order for the organization to host the AmeriCorps member. <br /> (Check One): <br /> 0 Not applicable. My organization either does not have unionized <br /> employees, or is hosting a Public Allies AmeriCorps member performing <br /> job functions substantially dissimilar from those carried out by unionized <br /> employees in my organization. <br /> (Or) <br /> Applicable. My organization is hosting a Public Allies AmeriCorps <br /> member performing job functions substantially similar to those performed <br /> by unionized employees. Written consent from the labor union has been <br /> offered in support of the organization hosting an AmeriCorps member. <br /> (b . 4. -o <br /> Signature of Partner O ganization Representative Date <br /> Attest: i <br /> Silvia • IP": linden, City Clerk <br /> I ____ <br />