"The DMC is an equal opportunity organization and will not unlawfully discriminate on the basis of race, color, sex, religion, national origin, age, height, weight, marital or veteran status, or the presence of a medical condition or handicap. Michigan and Federal laws require employers to make accommodations to handicapped applicants or volunteers, if the handicap can be accommodated with certain guidelines, and the individual can perform the essential job duties with or without such accommodations. Handicapped volunteers and applicants may request an accommodation of their handicap by notifying the organization in writing of the need for accommodations within 182 days of the date the handicapper knows or should know that an accommodation is needed. Failure to properly notify the organization will preclude any claim that the employer failed to accommodate the handicapper. Completion of this application does not guarantee placement.

  I certify that all responses on this document are true to the best of my knowledge. I agree that this information may be verified and references contacted by the DMC Volunteer Services. I understand that any misrepresentation of information constitutes cause for separation or termination from volunteer service.