HCE Clubs (List All Clubs) County: _____________________________________________ Year: __________________________ Do you have documented In Compliance? evidence of conducting “All % Racial Serves an Reasonable through: Efforts” Membership Composition Interracial Personal by Race of Mass Personal Contacts Club Name (W/B/O)* Community (Y/N) Media Letters Yes No Example: Main Street Home Makers Club 12/0/0 100/0/0 No N/A N/A N/A X Example: Brownville HCE Club 13/0/0 50/40/10 Yes Yes Yes Yes X Example: Gainesville Gator HCE Club 10/5/0 90/10/0 Yes N/A N/A N/A X *W=White, B=Black, O=Other **Face to face contact, individually or in groups by a member of the Extension faculty, program assistant, or volunteers. Certification of clubs not in compliance requires action utilizing all three of the reasonable efforts. I certify that all HCE clubs in _________________ County are in I certify that, with the exception of ______ (#) of the above clubs, compliance. the HCE clubs in _________________ County are in ______________________________________________________ compliance. OR CED Signature Date ___________________________________________________ CED Signature Date
HCE Clubs (List All Clubs) County: _____________________________________________ Year: __________________________ Club Name Membership by Race (W/B/O)* % Racial Composition of Community Serves an Interracial (Y/N) Do you have documented evidence of conducting “All Reasonable Efforts” through: In Compliance? Mass Media Personal Letters Personal Yes No Example: Main Street Home Makers Club 12/0/0 100/0/0 No N/A N/A N/A X Example: Brownville HCE Club 13/0/0 50/40/10 Yes Yes Yes Yes X Example: Gainesville Gator HCE Club 10/5/0 90/10/0 Yes N/A N/A N/A X *W=White, B=Black, O=Other **Face to face contact, individually or in groups by a member of the Extension faculty, program assistant, or volunteers. Certification of clubs not in compliance requires action utilizing all three of the reasonable efforts. I certify that all HCE clubs in _________________ County are in compliance. ______________________________________________________ CED Signature Date OR I certify that, with the exception of ______ (#) of the above clubs, the HCE clubs in _________________ County are in compliance. ___________________________________________________ CED Signature Date Contacts
FAHCEAgentsHandbook.docx