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T pases +0 talU.S. Office of Personnel Management ETHNICITY AND RACE IDENTIFICATION
Guide to Personne! Data Standards (Please read the Privacy Act Statement and instructions before completing form.)
Name (Last, First Middle nial) 5 Socal Secuiy Number Birthdate (Month and Year)
Ute, [-30F a Short PAL
KENNEDY, ANITRIAC “CO ‘ATi cuts 2ésiRve, 03/1977
“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 1987 Revisions to the Standards for the Classification of Federal Data on Race
and Ethnicity. Providing this information is voluntary and has no impact on your employment status, but in the instance
Cf missing information, your employing agency will attempt to identify your race and ethnicity by visual observation.
This information is used as necessary to plan for equal employment opportunity throughout the Federal government. it
1s also used by the U. S. Office bf 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 ofthe 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. If SSN is not provided, however, other agency sources may be
used to obtain it,
‘Specific Instructions: 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 Gentral American, or other
Spanish culture or origin, regardless of race.)
OYes "63 No
‘Question 2. Please select the racial category or categories with which you most closely identify by placing anX" in the appropri
box. Check as many as apply.
RACIAL CATEGORY y
(Chest es wary avenpty) DEFINITION OF CATEGOR
8) American Indian or Alaska Native ‘A person having origins in any of the original peoples of North and Sour Ar
(including Central America), and who maintains tribal affilation or
| attachment.
7 Asian | A person having origins in any of the original peoples of the Far East So.
Asia, or the Indian subcontinent including, for exemple, Cambodia China
Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thalland, and Viet
1 Black or African American | A person having origins in any of the black racial groups of Attica.
17 Native Hawaiian or Other Pacific stander | A person having origins in any of the orginal peoples of Hawall, Guam, Samoa or
other Pacific Islands.
RB wnite ‘A person having origins in any ofthe original peoples of Europe. the Middle Eas:
North Attica
Previous editions
42USC. Section 2
NSN 7540-01-099-3445,ULS. Office of Personnel Management ETHNICITY AND RACE IDENTIFICATION
Guide to Personnel Data Standards (Please read the Privacy Act Statement and instructions before completing form.)
Name (Last, First, Middle initial) ‘Social Security Number ] Birthdate (Month and Year)
(>
Sit,
KENNEDY, AKHMOSE HUCC | 368 Mpeg es
‘Agency Use Only
lowzor2
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 Classification 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 atempt to identify your race and ethnicity by visual observation.
‘This information is used as necessary to plan for equal employment opportunity throughout the Federal government. It
| 's also used by the U. S. Office bf 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. If SSN is not provided, however, other agency sources may be
used to obtain i.
‘Specific Instructions: 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 culture or origin, regardless of race.)
Yes “3 No
Question 2, Please select the racial category or categories with which you most closely identify by placing an *X" in the appropri
box. Check as many as apply.
RACIAL CATEGORY
nee rata DEFINITION OF CATEGORY
& Arerican Indian or Alaska Native ‘A parson having origins in any of the original peoples of North and South Areca
(including Central America), and who maintains tribal afflation or com
| attachment
Asian ‘A person having origins in any ofthe original peoples of the Far East, So
‘Asia, or the Indian subcontinent including, for example, Cambodia, China
| Japan, Korea, Malaysia, Pekistan, the PhippineIsiands, Thaland, and Vietnam
1 Black or African American ‘person having origins in any ofthe black racial groups of Aca.
1 Native Hawaiian or Other Pacific stander | A person having orgins in any of the original peoples of Hawall, Guar, Samoa or
other Pacific Islands.
B write ‘A person having origins in any of the original peoples of Europe, the Middle
North Attica
Standard Form
Revised August 2
Previous eat
42USC, Section 2
NSN 7540.01-098-2448Vv
110TH CONGRESS:
moe H RES, 194
Apologizing for the enslavement and racial segregation of African-Americans,
IN THE HOUSE OF REPR:
Peprvany 27, 2007
Mr. ConEN (for himself, Mr. JOHNSON of Georgia, Ms. Jacksox-Lex of
Texas, Mr. BRADY of Pennsylvania, Mr. WEXLbR, Ms. Ki.Parnicx, Ms.
Wooisey, Mr. PALLONE, Ms. LER, Mr, McGovern, Ms, ScHakows
Mis. Maroney of New York, Mr. Coxvens, Mr. Monan of Virginia, Mr
Capuano, Mr. Ras rE, Mr. JEFFERSON, Mr, Eunison, Mr.
AL GREEN of Texas, } ERFIELD, Ms. WATSON, Mr. HINCHEY,
Mr. CLEAVER, Ms, CARSON, Mr, ISRAEL, Mr. ACKERMAN, Mr. Davis of
Alabama, Mr. Lewis of Georgia, Mr. ABERCROMBIE, Mr. Hae, Mr
KENNEDY, Ms, BALDwix, Mr. Hopes, Mr. Fite, Mx, Honpa, and
Mr. Kversici) submitted the following resolution; which was referred to
the Committee on the Judiciary
NTATIVES
RESOLUTION
Apologizing for the enslavement and racial segregation of
Afriean-Americans.
Whereas millions of Africans and their descendants were
Javed in the United States and the 13 American colo-
from 1619 through 1865;
Whereas slavery in America resembled no other form of invol-
untary servitude known in history, as A
ivans were eap-
tured and sold at auction like inanimate objects or ani-
mals;2
Whereas Africans foreed into slavery were brutalized, humili-
ated, dehumanized, and
subjected to the indignity of
being stripped of their names and heritages
Whereas enslaved families were torn apart after having been
sold separately from one anothers
Whereas the sys
rem of slavery and the visceral racism against
persons of Afriean descent upon which it depended be-
came entrenched in the Nation’s social fabric;
Whereas slavery was not offi
of the 13th Amendment to the United States Cons
tion in 1865 after the end of the Civil War, which was
‘ially abolished until the pas
fought over the slavery
issue;
Whereas after eman
ation from 246 y
‘ars of slavery, Afvi-
can-Amerieans soon saw the fleeting political, social, and
economie gains they made during Reconstruction evis-
cerated hy virulent raci
m, lynchings, disenfranchisement,
Black Codes, and racial segregation laws that imposed a
rigid system of officially sanctioned racial segregation in
virtually all areas of lif
Whereas the system of de jure racial segregation known as
“Jim Crow,” whieh arose in certain parts of the Nation
following the Civil War to create separate and unequal
societies for whites and African-Ameri was a direct
ns,
result of the racism against persons of African descent
engendered by slavery
Whereas the system of Jim Crow laws officially existed into
the 1960's—
America—until Congress took action to end it, but the
century after the official end of slavery in
vestiges of Jim Crow continue to this day;
Whereas African-Americans continue to suffer from the con-
sequences of slavery and Jim Crow—long after both sys-
*HRES 194 THtems were formally abolished—through enormous damage
and loss, both tangible and intangible, including the loss
of human dignity and liberty, the frustration of careers
and professional live of income
and the long-term lo
and opportuni
Whereas the story of the enslavement and de jure segregation
of Afric
n-Americans and the dehumanizing at
committed against them should not be purged from or
minimiged in the telling of American history;
Whereas on July 8, 2003, during a t
Pr
*s continuing legaey in American life
ip to Goree Island, Se
egal, a former slave port esident George W. Bush ac-
knowledged slaver
and the need to confront that legacy when he stated that
slavery “was
2. The
slavery or with segregat
. «one of the greatest crimes of history
y did not end with
ial bigotry fed by slav
m. And many of the issues that
still trouble America have roots in the bitter experience
of other time
. But however long the journey, our destiny
all”;
is set: liberty and jus
Whereas President Bill Clinton also acknowledged the deep-
seated problems caused by the continuing legacy of rac-
ism against African-Amerieans that began with slavery
when he initiated a national dialogue about race;
Wherea
first step in the process of r
a genuine apology is an important and necessary
‘ial reconciliation;
Whereas an apology for centuries of brutal dehumanization
and injustices cannot erase the past, but confession of
the wrongs committed can speed racial healing and ree-
onciliation and help Americans confront the ghosts of
their pasts
sHRES 194 TH4
Whereas the legislature of the Commonwealth of Virginia has
recently taken the lead in adopting a resolution officially
express
ng appropriate remorse for
slavery and other
State legislatur nd
are considering similar resolutions
Whereas it is important for this country, which legally reco;
nized slavery through its Constitution and its laws, to
for
make a formal apol and for its succes
Jim Crow, so that it can move forward and seek ree-
oneiliation, justice, and harmony for all of its citizen:
Now, therefore, be it
1 Resolved, That the House of Representatives—
2 (1) acknowledges the fundamental injustice,
3 cruelty, brutality, and inhumanity of slavery and
4 Jim Crow;
5 (2) apologizes to African-Americans on behalf
6 of the people of the United States, for the wrongs
as committed against them and their ancestors who
8 suffered under slavery and Jim Crow; and
9 (3) expresses its commitment to rectify the lin-
10 gering consequences of the misdeeds committed
i against Afriean-Americans under slavery and Jim
12 Crow and to stop the occurrence of human rights
13 violations in the future.
sHRES 194 1H