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(Please read the Privacy Act Statement and instructions before completing form.)
Social Security Number
o{,2Jrg\rrSl
Agency Use
Social Security Number (SSN) is requested under the aulhority of Executive Order 9397, which requires SSN be used
for the purpose of uniform, orderly administration of personnel reccrds. Providing this information is voluntary and failure
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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 Arnerican. or other
DEFINITION OF CATEGORY
A person having origirrs in any of the original peoples of North and South America
(inctuding Central Arrerica), and rvho maintains tribal affiliation or community
I attachment.
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,
'A
nsian
Japan, Korea, Malaysia, Pakistan, the Philippine lslands, Thailand, and Vietnam.
]]
Atack or African
American
A person having origins ir. any of the black racial groups of Africa.
*n't"
lslander
i
I
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or
other Pacific lslands.
A person having origins ir any of the original peoples of Europe. the Middle East. or
North Africa.
Standard Form 18'l
Revised August 2005
Previous editions not usable
+.ar#"5,7[
U. 5.,
untary senitudcr knornryr in history, as Africans were c?.lptured and sold at auction like inanimate objects or artimals;
1,he
it
dependcd be-
of thc 13th Amendment to the l]nitecl States Constitution in 1865 after the errd ofi the Civil War;
\Mrereas after cmancipation from 246 years of slavery, Afri-
b.1.
siavery;
cle
jure
segregation
of
the continuing legacl, of racism agaiust African-Americaus that began u,ith slaven,
when he initiated a national dialogue a,bout race;
seatcrd problems caused b.v
&Ihcrreas
Wlrereas an apolog,
the wrongs committed can speed raeial healing and rec:onciliation and help Americarrs confront the girosts of
therir past;
(1)
the basic founding principles recognized in thc Dcclaration of Indcpcndencc that all rnen are created equal;
.HR.ES r94 EH
(4)
expresses
Attest:
Ckrk.
.HRES 194 EE
+-ami"ryf|
IY
l11tuc*oNGRESS
S. C0N. RES, 26
CONCURRENT RESOLUTION
Apologizing for the enslavcment and racial sepgegation of
African-Americans.
Whereas during the history of the Nation, the llnited States
s-rrrnbol
United States;
Whereas millions of Africans and their descendants were
enslaved in the United States and the 13 Ameriean r:olonics from 1619 through 1865;
\\Ihereas Afrieans foreed into sla
+h*#'f,"/
L\
"ol5,tss}*'**
H. J. RES. 3
JOINT RESOLUTION
To
a<,knou'ledge
aud
th.
\\Ihcrcas, while establishment of permanent European scttlcments in North Anerica ditl stir conflict with near\' Indian tribes, peaceful and mutuall;' beneficial irrteracrtions
also took place;
\\Iherreas ther foundational English settlerments
in
JamcstornT r,
Yirgirria, arrd Plr.niouth, l\,Iassa<rlmsetts, o'n,ed their survival in large measure to the compassion ancl aicl of the
Native Peoples in their vicinities;
\Ylrereas, irr tlre infarrcx of' the Urilted States, the fburrders
of the ll,cpublic expressed their dcsire for a just relation-
ship u,ith thc Indian tribes, as cvidenced by the Northrvest Ordinarrce errtr<ited b1' Congress irr 1787, whieh begins with the phrase, "'I'he utmost good faith shall always be observed torvard the Indians";
\\'lrereas Irrdian tribes provided gretrt assistarrr:e to the fledgling Republic as it strengthenecl and grcu,, including invaluabk help to llerirvether Le,wis and \\rilliaur Clark on
their epie jouruel, from St. Louis, Missouri, to the Parrificr
Coast;
treaties ratificd by Congrcss ancl other diploniatic agreements u'ith Indian tribes;
Wrercas this Nation should address the broken trcatics ancl
manli of thc nlorr ill-conccir-ed Fecleral policics that fblkrrved, such as extermiuatiorr, termination, fbrcred removai
.HJ 3 IH
830;
in
189)0; ancl
tions, beliefs, and customs of the Native Peoples and endcavorccl to assirnilate them b;, such policies as the redistribution of land under the General Allotmerrt Aet of
1887 ancl the forcible removal of Native children from
their families to faram,a-v boarding schools r,vhere thcir
Native practices arrd Ianguages were deggaded and filrbidden;
Wlhereas officials of the
oHJ 3 IH
eco-
of the Ilnited States b;r continued cooperation with Congress and the f)epartmerrt of the Irrterior, tlrrongli the irrvolvement of Native inclivicluals in official Unitccl States
Government positions, ancl b5, Icadership of their o\ rn
sovereign Indian tribes;
\\rhercas Indian tribes are resilient ancl determined to preserve, clcvelop, and transmit to frrture gcnerations their
urrique cultural iderrtities;
\\4rercas the National lluseum of thc Ameriean Inclian was
established u'ithin the Smithsonian Institution as a living
it
1
oHJ 3 IH
Congress nssemblecl,
snctroN
1.
ACKNow,LEDGEMET\rr AI.ID
Apor,ocy.
2
The United States, acting through Congrcss(1) recogrrizes the sper:ial legal arrd political relation3
4 ship the Indian tribes have u,ith thc United States and
5 the soleimn covenant with the land we share;
(2) commends and honors tlre Native Peoples ftlr the
6
7 thousancls of vears that they have stewartlecl ancl protccted
8 this land;
(3) acknou,ledges 1,ears of offic:ial depredations, ill9
10
11 United
of covenants by the
12
13
74
15
16
(5)
17 fbrmer
exprcsses
ofTcnses and
posi-
20 oncilcd as brothers
6
1
(7)
commends
the State
governments
that
have
4 ernments similarly
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