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Re: SF-ltl f,ace& EthnidtyForm

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str'-181

I{rR 194
Illotu Froprio
Popo's Apolryr to tk Americas
Pope's Mxsage of Peaee
Amqricm Declration m the Rights oflndigmosPeoples

EPSON

rrF-3540
Name

trCEED YCUB VISIO}T

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U.S" Office of Personnel Management

ETHNIGITY AND RACE IDENTIFICATION

Guide to Fesonnel Data Standards

{Please read the Privacy Act Statement and insiructions before completing form.}
Social Security Number

Name (Lasi, First, Middle lnitial)

entru .,TcLlDitv\a fr

Agency Use

{tclbwq?

onl/

Birthdate (Month and Year)

DLt

/ nhc

Plivacyl&t 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 agenry will attempt to identiff your race and ethnicity by visual observation.
This information is used as necessary to plan for equal employment opportunity throughout the Federal govemment. 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
question 1, go to question 2.
Question

1.

betovy are designed

to identify your ethnicity and race. Regardless of your answer to

Are You Hispanic or Latino? (A person of Cuban, Mexican, Puertrc Rican, South or Central American, or other

Spanish culture or origin, regardless of race.)


El t'to

flYes

Question 2. Please select the racial category or categories with which you most dosely identify by placing an )C in the appropriate
box. Checkas manyas apply.
RACIAL CATEGORY
(Check as many as apply)

Mf American lndian or Alaska Native

DEFINITION OF CAIEGORY

A person having origins in any of the original peoples of North and South America
(including Central Amedca), and who maintains tribal affiliation

or

community

attacfiment.

nsian

A person having origins in any of the original peoples of the Far East, Southeast
Asia, or the Indian subcontinent induding, for example, Cambodia, China, lndia,
Japan, Korea, Malaysia, Pakistan, the Philippine lslands, Thailand, and Vietnam.

elack or African American

A person having origins in any of the black racial groupc of Africa.

Native Hawaiian or Other Pacific.lslander

A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or
o&er Pacific lslands.

Ef wtrite

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

II. Res. 194

Iru the Hause

of Repre*entatiue*, {/. S.,


Juty 29. 2{}{k\.

1l'lrereas millions
onslaverl
nieu

of ,\fricans anrl tireir

in the

lirlu

LTrrited Statr:s and

dcsrendarrts

$-e.r?

tlu: 13 ^{ntuican srk-

1619 tluuugh 1865;

llhercas slaterS in Amcliea resemhletl no otlrer for.m of irnnlurttary ssrrttruk knau,n in liistorl,, ;ls Afrirarls $(,r.e taptured arrd sold at aurtior like ilarrirnate olrjer.ts or anirnais;

\l-hereas ^\fricaus lorced irrtti slar-er1- r:erc lnrltaliz-td, lrnuiiliated. clelurnrarrizerl, alrtl srrlliet,ted to the incliglit5 of
beinpr strillped of

th*ir ttames arrrl }rt-'ita;4r,;

\-hcrcas ttslaverl fan:ilicsi n'erc tor.n apart :rftt.r" having btrrr


solrl selrarateJ.'t firxn cru: alotlirr;
\Yhereas the slstcm of slar-er1' antl the riseeral raeirm agaiust

of Afi'ir:an deserrt ul)on n'hir:h it dtlxrnrhrrl lrt:rzlule.errtrerclterl ill tlre Nation's strial falrric:

persons

until the passage


of the 13th .*nrnrlrntrrt to thr lluited litates tkntstitritiorr irr 1865 after the eud of the Liril lYar

\tr'lrcir:as slal'ery rtas nrit cffieialll" almlished

l\'hereas after cnianr.ilration fl'om 2rl{i year',r of sliu'eryi Afi"ican-;lmcrirans s$on slu' thc flceting political, sorial, anrl
er,onondr. gaitrs thel- rrtade rluring lleulstnlr.tiou er-iset'ra

tcd lr3' r-r' rtlerrt

r-a

eism. lrnehing-s, tlisenfra nc.hisemgrt.

tttttl rttrial segyegatiort lltu's t}at irlrllttsed a


r.igirl systr.m of offieialll- sanctionetl raeial segrt'gatiou iti
virtualll' nll ttrtas of lifi';

Rlark

{r

L)cxles.

l\'hereas the s'r'stetu of tle jule rariitl segregatitxr krttnrrt ats


,,Jirn cro$-," \1{rielr arosc irt r:ertaitr llarts t}f the Natioil
fbilnrring the Ciril 1\-ar to ereati:, rit'paratf ttnd uttcqtral
sor:ieties firr uJrites arrtl .\.fi-irtrt-ltneriralls, \TAs a tlilert
r.r,sult 0f the racism agailst llersous of ^\friean tlesctnt
t'ngtnrler"erl try- slrrvtttl-;

itfltr the oftieial errri of slar-er1- irr .l\ntet'-"


ira, !'qrleral aetion lras yctlliytxl tluying tln' 19{i0s tn
clirBilate tlrr flt1itrfl: arirl r}:tht'to s;:stt'ttr of .IiiL frtxy

lYhereas a (entury

still
tlrr.$ughoilt 1}rr.ts of thc Natiurr, though its Yestigex
lingcr to tlrix tlal-;
l\'lnt,eas Afu.ican-Amtri*ilnx tottfutut' to snfti'r front thr cntuplex interpla.r lletn'eetr sltntry autl Jinr Crtlu-*lottg altt1
lxrtlr s}-str:ms $'*lt frrrrnalll- alrolishetl-tlrougli euormou$
dailuge and lass, lxrth tangiblt' trnrl intangible, ifi*luding
t}e loss of l*ruurt digrrit.r-" tlre firrst,atitnr of eareet's tttlti
professiorrerl liyes, antl tlrt' lotrgtelm loss of incoprc atid

ollllortrtIril.r-:

11'hereas

t|e

stury- of the ertslitr-elnetrt atrd de

jure

segr'egatigrr

Afi'ieap-Amerieatls antl the tlelrgmarrizing atloeities


rurmnitterl agai[st tht ur shouitt ilot bc purgeit htrn or.
'
llrilliil}izetl.irr t]re tellirrg of ,\tnerirail ltistorli

of

duriug a trip to Gorce Islanti' Serat'egal, a tbrmer slagt' p0rt, Pyesirlept {icoyge 1Y' Bls}r
lifb
krroHiedged xlarer1"s rotttitllrirrg ]egat1" itr fttterit'arr
statetl that
aDtl tlre $eed to eotlfl'ont tliat legaey ${rcn }re
,.1Tils ollt of tlrt, gt'eatest criues of l*storl'
slar-r,r1,
. . The raeiirl }:igotrl' fetl b.v slar-ery ditl llot eiltl 'rritlt

\1"fuereas on JuI,v 8, 2{X};1.

tE1

:l

segregatitin. lnd mtllll' af tlre issrres tltat


still trrmtilc Atrrerir:a hate l'oots irl tirc bitter erlrcrirtree
of other tint*s. But honrT'cr long the jourucl" o11r &rstirlv

sli*.et1' or

rritll

is set: Iitxrtr- arrtl justite titr all.";

l\'herrus Presidelrl .Bili Clintou also aeknot'letlgctl the deeps(rated pru|le1rs (.alrsed lr1- tltt. turrtimritrg lt'gary ttf rat:ism agairr.st ,\f'ritarr-,\net"iralrs tltat begalr witft slirlerl*
rthet he initiatetl a national tlialogue about raee;

\\'lrt'rtas a gr:nuitre apologf is au iurylrtant tttul lecgssary-

.frst

stel) irr tlrt: pl'(x:ess of racial retttrt'iliatiotr;

1\'hereas arr apo]op1' for c*nturie's of hrtta] deiruruanieation


arid i4lustices Calulot el'as(, the prtst, bgt smti-'ssiou of
tfue trropgs r.omrnittetl ratt speed rar:ial [ealilg atld re{'-

oneiliation aud help Amo'icans fi)rlfi'ont the ghosts of


thcir past:
legisl;rtttt'g of the Llornuxrtt*'ealtlt of Yirgiuia ltits
re(:e1tl]'taken the letrd in atloptfurg * r'trsohrtiol offreialll(..\l)r'e5j$ing fipllt'opl-iate reruorst, for slaYery and otlrttt'
ljtate legislatures luI'e adopteci ()l'al'e t'onsiderirg similar

11'1rt-,r'eas

t|e

rresolutiatrs; aud

t'hirh lr:qa]l}- l'f(:o!r*


niz.etl slar.erl- tlrroug;lt its (lorlstitrrtiou and its ltttts, ttr
mRkc a fo'^r:nal alrologx'for slalrry- antl for its sueeessot'.
Jirrr (l.ot-, sr-r that it can lnove forrrald aud stlek trr*
orrciliatiou, justice, altd harmolty fir all of its t,itizelts:
Nol', thtrcfcrre, hr it

\\'lrtrrrrtts

it is irnptutilrf

Re*ofu.'er{

{Ii

t'or this ctlulltll',

?hat tltt' House of Represcntatiresar:krxxr'leclges

t[at

xlar"ery

is

itrr:rrmpati}le rritfu

thc }asie fonntlirtg pl'inciples rtcoglizetl in the I)eelara-

'

tiou of In{epn{ence tlrat all lrr-'Il ill? rreatcd equnl;

!1

{2} aekuorvledgps the fundamental irfu*tiee, cruelfl"


hrutali$', anrl inhumaniry of slavery antl Jirn Crorr;
{3}apulogizestoAfoicanAnrerieausonb*halfofthe
'!lTOIlgs r*ommitted
people of the Iluited $t*tes, for tlre
again$t thenr and their ancestols who snffered under
slavery antl Jim CYur*'; and

{4}

exipre$ses

its

ger:ing eonsequenees

commitment

of the

to rertiff the lin*

mistlee.rls eomroittecl against

Afriean amerieans under slar.ery and Jim t:lTffi and to


stop the of,r.urrence of fulrnalr riglfis vislations in tfue fu-

tilre.
Attest:

Cl*$.

AP

TCI.Ic TETTEa.

IS$IJED }MTU PROFRM

'1d
&

Sr

THE $JPREiE

mNTIfF

r*ltcE

ffi THE JT'RI5DETMN OF A'SICIAtAI'ffiffTffi

OT YATICAfi CITY STATE

${ CRNtr*AL }IATTEre

In ourtirg,tfe conurpnp6d ir lrg6i1g|l*rg$ned bytrarsnathnal


orgnreat cdrp, *e lnryrgper 16a of the rnare* frftd of Uu ffitrIryr E urefi
as ryten0*$rn'

6cs56ryf3rfe hhrrffil1l ctr$r$rnfyB ae$ 3{gqtrat


trpl ffirrnerfs to tr"ltr*a16l m.f$er{riry$13l 36tiyffi, Uy Fomofq

It

is therefore

inHnot*xd

i$ftlt

soFerstioft gr {rirtual rmmm

ffiig
In rffiytrg m$Eltx6 intenraffird qnff*isr ln Uffi ilrsas,
al bdEtrof lffiicar ctyfth, trts F**y 5# hffi orenryilBiclhrred tfff
fst tlmartsn
nGdE b prEnreft crffinal
sudr 6grgesa|*s
lumandignfry, tnmnmm good and pmce.

ffiFs

* ffire

lffi*r a vft7tr b r$nnrirg


erds, by

orirc

of

te

tlt

Apome

See,s

mrur#rer* to ryerae

f,fosfiofic [.e*ter bilg| flobl pr3pr$, I

f. TtF g3reener*&gbjail &fto{fih$ of Vatitrr


penal

lxbffin ocr:
a) crtrre cg16ffi ryi16rhe ffisty,
or fiE PUlruryof gle l@See;

etaffittffi

ry #ts Eha* abo fficbe


tE firetrprbl ktfot=-s

b) crfrffi

reftr$

- in lratlmn

to:

Cty

te Ltr$ llto, VIII,

com*frg *ryebrrffiery
l&tHs;

f*rs

lgtlse

11

}4r

2S11

on C-rim*rd tata'

- in Vaffin ffiy ffi tarY |tls. D(, of 11 3S, Am,


carfair*rq Arnerxfrw*s b tE ft*rikrl Ca& ard the
Crirnkr*l fto&se Cs&;

$irm arc cffnrv*Bd brytl* Petww


ref$red to in mraEraph 3 bdryv, h tle exercise af
Se{r furafun;
n&en suilr

iltffi prsecten B rryritd !y an hffistional


agrerffi rffi bytte l@k, if tfe petpetabr is *{/6hh/
rcrt h the enturydVffin Cty ffi crd has nd beerl

g) arry oder

sfire

etra(m{L

The crtrtr rEfend to ln patryrapfu I am to be i$d Sfislrar* h &e


sffiral hw fr.k h Vattrn eY SHe at tre BrE d ffi oorrsr***mr
of {E h8nl ssettt on tfie ten$sal
u{$Emu[ prgm,e b llre grral ffi
ap$don of ctffial hws.

wpffi

a) rrpn$qs,
Rsnnn Gsh

ffi

3. Fs Ute

v#rt

c,ffiial kw,

the fof,cnrirE per$ffip are

deqrsl

"86&c dtcbb":

d fie urtx.a olptls d flE


ad cf fr ffi*iem cfiEEcGd b t.
ard fersfittd

U) panat Hrates ard

d@

persornd

d $e t*c*v 5e.

c) ttere persom u*p sents as eprwr*ditm, fimagers or


dhsctors, a$ ffig 6 pcrsorg who ewn de iacb rHrBgP orx#e
eperdert on fte thry Se ard
or*rrd <Nrertfe
h UE r4&ffyd carffitul igidicd pelsors @ brydp
cf Yr*fran Gty$ate;

M
C*ry

erffi My

d) ary drer Fermn hol$S an adsrfrr&ffie rfr.ufcbl mar$te in


Sre Hsry 5m, penvnns* trtsffpofiary, @ sr rytFil, frespe.ctle
of SEt Besont ssffit/"

4.

Thelrfsrfrffit r$tnd to ln parryryh f ryrryBes akOE affitrattve

heffiydrurffil

pEIso{E adthg frorrt {lBts, as reEn&&d byVat

cancfy

Sae hus,

lirtffi tfre sarne rntters arc g{F*srH h dsr ffis, Se gtryt$ss in


fo(e h Y*ien Cfy SE an colxursntltffidcmt slaB aSy.
5.

6. The conter* of article 23 of Law Na CXD( d Zl F{svem&er 1987, vrhiclt


appfeye$ tfie Judicial &der of vatican clty Stete remains in force,
This I decide and eshblish.

&

.{

:
'-:

affiing

to tlqe cotdrary notr,vitfstsnding'

I esrabtish that thir Apostolic lelter bsued l,4otu Proprb will h pumulgted by
i6 Wbfication in U0sservatore &rnano, enterifig int* f*rce on 1SeP&rttber
zgrs.
Given in Rome, at dle Apotstsllc Palaca arr

riru* 2sla tfte first of my

Pontifrate.

FRAITCISCUS

Copyright - Ubreria Editrice Vaticana

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MESSAGE OF HIS F$LINESS

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-167AG/RES. 2888 (XLVr-Oll 6)

AMERICAN DECLARATION ON TT{E RIGHTS OF INDIGENOUS PEOPLES

(Adopted at the third plenary session, held on June 15, 2016)

f:
THE GENERAL ASSEMBLY,

RECALLING the contents of resolution AG/RES. 2867 (XLru-Oll4), "Draft American


Declaration on the Rights of Indigenous Peoples," as well as all the previous resolutions on &is issue;

RECALLING also the '?eclaration on the Rights of the Indigenous Peoples in the
Americas," document AGIDEC. 79 (XLfV-O/14), which reaffrrms that progress in promoting and
effectively protecting the rights of the indigenous peoples of the Arnericas is a priority fot the
Organization of American States;
RECOGNIZING the valuable support provided by &e naember stats, observer states, the
organs, agencies, and eatities of the Organization of American States for &e process within the
Workiag Group to Prepare the Draft Amsrican Declaration on &e Rights of lrdigenous Peoples;
RECOGNIZING

as

well the important participation of indigenous peoples ofthe Americas in

the process of preparing this Declaration; and

TAKING INTO ACCOUNT the significant contibution that the indigenous peoples of the
Americas have made to humanity,

RESOLVES:
To adopt the following Draft American Declaration on the Rights of Indigenous Peoples'1l2t

I.

The United States remains committed to addressing the urgent issres of concem to indigenous peoples
across the Americas, including combating societal discrimination agaitrst indigenous peoples and...

2.

Canada reiterates its commitment

to a renewed relationship with its ladigenous peoples, based on


recognition of rights, respct, co-operation and partftership. Cauda is now fitlly engagd ...

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