CMJTS asks you to provide information that includes private information about you under the Minnesota Government Data Practices Act (MGDPA). CMJTS must protect the privacy of your personal data. CMJTS may not use your information for reasons other than the reasons listed on this form. CMJTS may not share your information with individuals and agencies other than those listed on this form unless you give us consent in writing or a Court orders us to release the data.
CMJTS is asking for this private information for the following purposes and intended use:
- To tell you apart from other people with the same or similar name
- To decide if you meet eligibility requirements to receive services from us and what or how much you can get
You are not legally required to provide the information CMJTS is requesting, and you may refuse to provide some or all the information requested. However, CMJTS may not be able to help you if you do not give enough information.
WHO HAS ACCESS TO THE DATA – Private data about you may be shared with various CMJTS staff members. No CMJTS employment specialist may authorize enrollment unless the program staff has completed a review of the full application for services.
By completing this form and clicking the button for submission to CMJTS, you agree to receipt of this Tennessen Notice.