7/26/2019 Juniors Sf 181
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06/2012016
'18:59
FAx 7205357050 canon
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INAI{SiIISSIOI{ COiIPLETTD
TX/RX
N0.
DESTIHATIOI.I
HUMBER
DESTII{ATION ID
ST.
TII{E
C0ruUilICATI0t'l TIl,lE
PAGES SENT
RESULT
0025
2023953888
06/20 l8:54
04'08
9
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effia}}n
7/26/2019 Juniors Sf 181
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
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EDITION
CI
L]S
NEWS POLITICS
l
ENTERTAINMENT
I
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SPi
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.
E N TE R
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I], EI.,I PL],A]F R
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