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� . % r <br /> APPENDIX C <br /> STATEMENT OF NON-DISPLACEMENT AND UNION CONSENT . <br /> I. Statement of Non-Displacement <br /> As a representative of a Partner Organization of Public Allies, I acknowledge that my <br /> organization is not displacing an employee or position, nor reducing hours, wages or <br /> employee benefits as a result of hosting any Public Allies AmeriCorps membeNs. <br /> �h- `�J ���� � <br /> Signature of Partner Organization presentative Date <br /> H77 <br /> II. 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 similar to <br /> those of employees represented by a labor union, union consent is required in order for <br /> the organization to host the AmeriCorps member. <br /> (Check One): � <br /> ❑ Not applicable. My organization either does not have unionized employees, or is <br /> hosting a Public Allies AmeriCorps member perForming job functions substantially <br /> dissimilar from those carried out by unionized employees in my organization. <br /> �pR� <br /> � Applicable. My organization is hosting a Public Allies AmeriCorps member <br /> performing job functions substantially similar to those performed by unionized <br /> employees. Written consent from the labor union has been offered in support of the <br /> organization hosting an AmeriCorps member. <br /> --�1z.� �c�� � gl a' �� � <br /> Signature of Partner Organization Representative at� <br /> Public Allies Partner Organization Agreement 2011-2012 5 <br />