7/26/2019 Juniors Sf 181

1/10

06/2012016

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2/10

ATT:

Director,

Shewn

Donoven

t, DAMIEN JORDAF{1O*,

am

fiting

this

standard

form

181

to correct

the Ethnkity

and

Race

ldntity status

of my

sory

DAMIEN

JORDAN

JR.

l

Thank

you

for

your

c@Peration.

UCC 3'402

Authorized

Representative

7/26/2019 Juniors Sf 181

3/10

U.S.

Office of

Personnel

Management

Guide to

Personnel

Data Standards

ETHNICITY

AND RACE

IDENTIFICATION

(Please

read

the

Privacy

Act

Statement

and instructions

before

completing

form.)

Name

(Last,

First,

Middle

lnitial)

tLiltuatlil 4anxlu.J

4

*

Sqcial

Security

Number

}tt

-

d?- a)-fr

Birthdate

(Month

and

Year)

\o,r*L.- tqa*

Agency

Use

Only

Privacy

Act

Statement

Ethnicity

and race

information

is

requested

under the

authority

of

42

U.S.C.

Section

2000e-16 and

in

compliance with

the Office

of

Management

and Budget's

1997 Revisions

to the Standards

for the Classiflcation

of Federal Data

on Race

and Ethnicity-

Providing

this

information

is voluntary

and has no impact

on

your

employment

status,

but

in

the

instance

of

missing information, your

employing

agency

will

attempt

to identify

your

rate

anO

einnicity

by visual

observation.

This information

is used

as

necessary

to

plan

for

equal

employment

opportunity

throughout

the Federal

government.

lt

is

also

used

by

the U.

S. Office

of

Personnel

Management

or employing

agency maintaining

the

reCords

to

locate

individuals

for

personnel

research

or survey response

and in

the

production

of

summary

descriptive

statistics

and

analytical

studies in

support

of the function

for which

the records

are collected and

maintained,

or for related

workforce

studies.

Social

Security Number

(SSN)

is

requested

under

the authority

of Executive

Order 9397,

which

requires

SSN be used

for

the

purpose

of

uniform, orderly

administration

of

personnel

records.

Providing

this information

is voluntary

and

failure

to

do

so will have no

effect

on

your

employment status. lf SSN is not

provided,

however,

other

agency sources may

be

used

to obtain

it.

Specific

lnstructions:

The

two

questions

below are designed to identify

your

ethnicity and

race.

Regardless

of

your

answer

to

question

1,

go

to

question

2.

Question

1. Are You

Hispanic or Latino?

(A

person

of Cuban,

Mexican,

Puerto Rican,

South

or

Central

American,

or

other

Spanish cuttug

o;orispffararcss

of

race.

)

Question

2.

Please

select

the

racial

category

or

categories with which

you

most closely identify

by

placing

an

"X"

in

the appropriate

box.

Check

as

many as

apply.

RACIAL CATEGORY

-z

(Check

as

many

as

apply)

DEFINITION OF CATEGORY

American lndian

or

Alaska

Native

Asian

Black

or

African

American

Native

Hawaiian

or Other

Pacific

lslander

W

at

tr

D

A

person

having origins

in

any of the original

peoples

of North and

South America

(including

Central

America),

and

who maintains tribal affiliation or community

attachment.

A

person

having

origins in any of

the

original

peoples

of the

Far East, Southeast

Asia, or the

lndian subcontinent

including,

for example,

Cambodia,

China, lndia,

Japan,

Korea,

Malaysia,

Pakistan, the Philippine

lslands, Thailand,

and

Vietnam.

A

person

having origins

in

any

of

the

black

racial

groups

of

Africa.

A

person

having origins

in

any

of

the

original

peoples

of

Hawaii, Guam,

Samoa, or

other

Pacific

lslands.

A

person

having

origins

in

any

of

the original

peoples of Europe, the Middle East, or

North Africa.

Standard

Form

181

Revised

August 2005

Previous

editions

not

usable

42 U.S.C.

Section

2000e-16

NSN

7540-01-099-3446

7/26/2019 Juniors Sf 181

4/10

EDITION

CI

L]S

NEWS POLITICS

l

ENTERTAINMENT

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SPi

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E N TE R

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WELLNESS

WHAT'S

WORKING

VOICES

VIDEO

ALL

SECTIONS

RELIGION

I

CpoFro

o"*r.lII

,ldchoi*s

li

Pope

Apologizes

For

catholic

church's

'offenses'

Against

lndigenous

Peoples

I humbly

ask forgiveness...for

crimes commitied

against

the

native

peoples

during the

so-cailed

conquest of America."

Q

OZiosizOr

S 07.54

pm

EI

i

Updated

Jut 10, 201 5

2.9k f

t

a

nP

Nicole

Wnfield.

Jacobo Garcia

WATCH:PopeFrancisApologizesForChurch's'GraveSins,

YOU

MAY

LIKE

You're

ln

For

A

Big

Surprise

in

2016

lf

You

Own

A

Home

in

colorado

Sponsod

UnkB

bY

Taboola

7/26/2019 Juniors Sf 181

7/10

I{.

Res.

194

In,

the

l:Iou*e

of

Representatiaes,

U.

S.,

Jil.a

t9, 2008.

\Vlteteas

nrillions

of

Afi"ir:arrs

atrtl

thuir

tlcsccndalrts u-crt

enslaved

in

tlre

lInitr:d States anrl

the 13

Arnerican

eolo-

nies

ti'om 1(i19

ttrrmrgh 1tt{i;i;

\\thereas

slaxrry

in

Arnerica

resemblerl

no

other

f'otrn

of

irnol-

untary

sen'ihrde

knor'in in history,

its

Africatrs 11?r'e

ciU)-

tunxl anrl

solcl at

auction

lilre

inaninratc

ol{ects

ut'

aui-

mals;

\\rlrutas lUi"icarrs forcul

into

slavery'

${}re bnrtalieed,

lrurnili-

ated,

dclnrnrauizcrl,

atrd

sulljeetrxl to

tlrtt indigrritl'

of

lreing

strippctl

of tlreir

narneti

anrl

hcritagc;

\\hereas

enslavctl

fanrilies wet'e torn

apad

aftel'

having

heur

sokl

.sepat"ate\,

fi'om

one another';

\\kcr.eas

the

s.r'sterrt

of slnverl.

and

the

risceral

t'aeisnr

against

l)us()ns

of

rlfrir:atr

descent.

trpotl

t'hicrh

it

rlepeudcd btl-

(.irrlr{:

crrtt'cnr{tr-d

irr t,lrt:

Nrttiorr's

srxrirtl

fa}:ric;

\1leteas

slarttry

t1,a$

tlot

o{fir:iall.l'alxrlislrcr}

until

thc

l}as$'age

of thc

lilth

AnreDdmerrt

t0

the

llnitrrd

Statcs

Corrstitu-

tiott

in

I

litiS

aftcr

thc

cud

of the Civil

lYar';

\{hcr.eas

erftet.

gtttancipation

filnr

246

.}'ea1s

of

slavcr3',

.{li'i'

crap-Arncr.ieiltrs

.qoon

sarc

thg fleetilg

lmlitical,

social,

ancl

es)nomi(

gains

the3'

tnattfl

during

fieulttsl-ructiur

er-iu-

eernt.ed

b5'r'inrle1t.

t'afi.sni,

lyrelr.ings,

tlisettfi'antt[isetnertt,

7/26/2019 Juniors Sf 181

8/10

2

Blnck

{)orles,

and

rar:ial

tep'egation

ltrrvo

that

irnlxr*erl

a

rigirl s1'str:ru

of offieiallv

sanctionecl

racial

segrtgatiou

in

virtuall3'

all

arcas

of

life;

\rlhereas

tLe

sl,stenr

of

de

jure

raeial

seg3'egatiorr

knowt

as

"Jirn

Crrnr,"

u'hirrh

ar'ose

irr

ecrtairr

parts

of

tlre Nation

follcring

tlrc

Citil

T[ar

to create

selrarate and

unequal

societics

t'or

rrhilcs

irrrd

Aii'ican-Aruerieans,

rrzls

a

tlileet

result

of

tlre racism

agairrst

pel's()ns

of Afi'icau

rlesr:ent

cngendex:rl

l4'

slavery;

\\'hcreas

a

ctrntury

after

the

oilir:ial

end

of

slavcrf

in

;hncr.-

iea,

F-erlcrtrl

aetion

was

required

dru'furg

tlre

1960s

to

eJiminate

tlre

dejnre

and defacto

s;1'stem of

Jinr

Crou'

tlu'oughrxrt

parts

of thc

Nation,

thongh

its r'c*tigcs

still

Iinger

to

thi.s dar';

\Yhereas

Afiiean-Amerieans

contitue

to

sufl'er

fi'otu the eont-

plex

interplaS'lr,ttl'eeu

slavetr

and

Jirn

Clrnr--long

after'

both

slntenrs

wet'e

f

7/26/2019 Juniors Sf 181

9/10

t-l

*laYer,l'

or

witl.

segr'+gation.

.rlr.d

rl1:1r11'

of

the issues

that

still

troublc

Anrct'ica

havc

roots

iu

tlre

bitter

exlrcricut't:

of

othcr

tittres. But.

hot'ever lottg

tire

jounrq',

olll'

dt:stirrl

is sct:

lilxrrtv

arrd

jnstice

ftr

all.";

\trlrg.eas

frrtsitlent

}lill Clirrtort

also

aekno*'ledgcd

tJre deep-

seattl

problems

ea*setl

lr)'

the

continuing

legatrl'

of

rac-

isilr against

Aft.iean-Anretieans

that

tregan

n'ittr

slaYerl'

t;hen

he

initiat*d a

nationtrl

dialogue

about,

racct;

trlthereas

a

genuine almlogi'

is

au

important

and

ueeessttt-l'

fn'st

step

in

the

ptoesis

of

t'acial

recor:eiliation;

\l'hereas

au

alrulogx'

for

cc,trturics

of

l:r'rrtai

de.humanization

aryl

irljustir:rs

carnrtrt

erasr:

tltr:

past, but

txxrfessirlu

of

the

r\'ruilgp

e,orundtted

ean

speed

meial

hcaling

atrd

rt(1-

oncjliation

and

hdp

Anrct'icans

cortfi-ont

the

ghnsts of

their

past;

\\trereas

the

tegislaturre

oi

the

commonrreatth

of

virginia

has

r.eeentll..

taken

the

le*il

in

arlopting

a t'esolution

officiall.v

erpressing

appropriate

rctrlorse

fbr

slavcr'1'

atttl

othcr

statc

lcgislat[r.cs

]rilr,e

atlopted

or

ar

cor}sideril]g

sirnilar

rcsolutiotrs;

alril

\\lrcrcas

it is

ilnportarrt

f

7/26/2019 Juniors Sf 181

10/10

t

(2)

adrnowlertges

tlte

firndaruental

irqiustice,

t:rarelt.r.,

txrrtrlitl',

and

inhumanity

of

slavtrl' nnd

Jirn

Orotr;

(3)

atrclogfzes to

Africau

llmericarn

ou

bchalf

of

tlrt'

peoplc

of

thc

Uuikd

States,

fbr the

wr.ongs

eorrunitted

agaiust

them

and

tJreir

aueestom

rtho .suffer.ed

undcr

slarery

arrrl Jirn

Crorv; aud

(4)

e

-ple,srie$

its

conrnritnxxrt

to r.ccti{1'

the

lirr-

gcring

consequcnces

of

thc

ruistlee-tls

conurritted

agginst

Afi'iean Arnericans

under

slavcry and

Jirn Cxnr

and

to

stop

the

oeentltllee

of

hrunan

rights vinlations

in

the fti-

hu'e.

;\ttest:

ab-|.

.IlnES

r0r

EE