Post on 25-Feb-2018
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Social Security
Administration
lmportant
nformation
Social
Security
Administration
SOCIAL
SECURIry
BLDG
24OO SUITE
122
38OO
CAMP
CREEK
PKWY
ATLANTA,
GA
30331-6065
Date:February
1,2016
BRENDA JOYCE
BRYANT
Field Office
Manager
This is a receipt to
show that
you
applied
for a Social
Security
card on
February
1, 2016.
You
should
have
ybur
card
in
about
2
weeks.
Any
document(s)
you
have submitted
are
being
returned to
you
with this
receipt.
lf
you
do not
receive
your
Social Security
card
within
2 weeks,
please.let
u.s.
know..
You.may
call,
wfite
or
visit any
Soci'"al
Security
office.
[f
you
visit an
office,
please
bring
this
receipt
with
you.
To
protect
youiprivacy,
we wilinot
disclode a
Social Security
number
over the
telephone.
The Social
Security
Administration
is required
by
law
to
limit
r_eplacement
So.cial
Security
cards
to
three
per
year
and'ten
per
lifetime.
Do riot carry
your
Social
Security
card
with
you.
Keep
it
in a
safe
location'
not in
your
wallet'
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7/25/2019 SF 181 and SSA-Tiyemerenaset Ma'at El
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U.S.
Office
of Pergonnel
Management
Guide
to
Personnel Data Standards
ETHNICITY
AND
RACE
IDENTIFICATION
(Please
read
the
Privacy
Act
Statement
and
instructions before completing
form.)
Name
(Last,
Fimt, Middle
Initial)
Bryant,
Brenda J
Birthdate
(Month
and
Year)
09/{950
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 Revislons to the
Standards
for the
Classificaiion
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 identifiT
your
race
and ethnicity 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 descriptlve 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 S$N
be
used
for the
purpose
of
uniform,
orderly
admirristration
of
personnel
records. Providing
this
information
is voluntary and failure
to do so
will
have
no effect
on
your
employment status.
lf
SSN
is
not
provided,
however,
other
agency
sources
may
be
used to obtain
it.
Specific
lnstrucuons: The ni'ro
questions
below are designed to identify
your
ethnicity
and
race.
Regardless of
your
ansvver b
question
1,
go
to
question
2.
Question
1. Are You Hispanic or Latino?
Spanish culturE or
origin,
regardless
of
race.)
flves
fit
tlo
(A
per$on
of Cuban, Mexican,
Puerto Rican, South or
Central
American,
ol other
Questlon
2.
Please selecf the
racial
category
or
categories
with
which
you
rnost
closely
identify by
placing
an
'X'
in
the appropriate
box.
Check
as many
as
apply.
RACIAL CATEGORY
i0heck
as many
as apply)
DEFINITION OF
CATEGORY
American lndian
orAlaska
Native
Asian
il
Hack
orAfrican
American
ff
Native
Hawaiian or
Other Pacific
lslander
El
tmite
EI
ft
A
person
having origins in
any
of the original
peoples
of
North
and South
Arnerica
(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
orrghal
peoples
of
Europe,
the
Middle
East,
or
North Africa.
Standard Form
181
Revised
August
2005
Previous editions not usable
42
U,S.C.
Seotion 2000e-10
NSN 7540-01-099-3446
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AUTHENTICATED
/,>
'iffi :l?
II.
Res.1g4
In
the
Hause
of
Representatiues,
f/.
S.,
JutY
29,
2408.
Whereas
rtrillions
of
Africa,ns
and
their
tlescendants
lrere
cnslalled
irr
the
unitcd
states
and
thc
13 A,rncrican
coio-
nics
from
1619
through
18ti5;
Whereas
s1alery
in
Amerit:a
reselnbied
no other
form
of
invol-
untary
serviturle
kno$tr
in history,
as Af
icans
\vere
oap-
hrred
and
sold at
auction
like
inanimate
objeets
or
atti-
mals;
\Vhereas
Af'rieans
forced
into
slarrely
\Yere
brutalized,
hurnili-
ateil,
tlehuma,nizecl,
ancl
sutrjeeted
to
the
indignity
of
bcing strippcd of
tircir
nalncls
and hcritagc;
Whcrcas
cnslavcd
taldlics
rrerc
torn
apart
aitcr
having
hccri
sold
scparatcly
from
onc
auothcr;
\trIher:eas
the
system
of
slavery
and
the
viscerai
racisrn
against
persons
of
African
deseent
upon
whieh
it
ileptintled
bt>
eame
entrenched
in
the
lsation's
soeial
fabric;
trVhereas
slavery
rvas
not
offieially
abolished
until
the
passage
of
the
l"sth
Amendment
to
the tTnited
States
Constitu-
tion
in
1865 a.fter
the
end
of
the Civi}
l&'ar;
whcrcas
afier
crrianeipation
titnr
246
l,gnr*
of'slavery,
fffi-
ean-Ameriealls
sooll
saw
the
flceting
political, social,
and
egongrnic
gains
they
made
fluring
Recolshrrction
evis-
cerated
by
vinrlent
racistn,
lynchings,
disenfranchisemento
7/25/2019 SF 181 and SSA-Tiyemerenaset Ma'at El
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2
Rlat..k
Cocles,
a,ntl
racial
segpegatiorr
la,ws
that imposed
a
rig'icl
sygfem of officially sanctioned raeiai
segregation in
virtually
all
areas
of
lif'e;
'Whereas
the
system
of'
de
jure
racial
segregation
known as
"Jim
Crow,"
whieh
arose
in
certain
parts
of
the
l{ation
tbllrxving
thc Civil
'W-ar
to ercatc
scparatc and uncquai
societies
tbr
u'hitcs
and
At}iean-Amcrieans,
$:as a
dircet
result
of
the raoisrn
against
persons
of
Afrisan
descent
engentlered by slavery;
lVhereas
a
century
after
the
offreial
end of
slavery
in
Amer-
ica,
Federal
aetion
was requirerl
during
the
1960s to
eliminate the
dejure
and
clefacto
system
of
Jim
Craw
tlrougliout
parts
of
the
l.{ation,
t}rough
its
vestiges
still
lingcr
to
this
da-v;
Whcrcas
Afriean--r\mcrieans
continue
to
sutr'cr
frorn thc
coni'
plex
interplay
betn'een slavery and Jim fl161y-|6pg after
both systems
ryere formally
abolished-tlu'tiugh enorrnous
damage
and loss, both
tangible
and
intangible, ineluding
the
ioss
of
human
dignity, the
firrstration of
careers
anrl
professional
lives,
antl
the iong-term ioss
of
income anrl
opportunitl.';
Whcrcas thr story of thc
enslavcrncnt
and
dc
jure
scgrcgation
of Afriean-Ancrieans
and
the
d.chumanizing atrocities
committed
against
thtrm
should
not
be
purged
from or
nrinimized in
the telling
of
A,rnerican history';
lYhercas
on
July
8,
2003, during
a trip
to
Goree
Island, Sen-
egai,
a
former
slave
port,
President
George
W.
Bush
art-
knowledged
slavery's continuing legac;,
in
American
life
antl the
need
to
eonft"ont
that
iegaey
rvhen
he stated that
slavcr;v
"was
one
of tJrc
grcatest
erimcs of history
.
.
The racial
bigotry
t'ed
by
slnvery
did not
end
x.ith
rIIBE$
tg4
lilH
7/25/2019 SF 181 and SSA-Tiyemerenaset Ma'at El
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:l
slavery
or
with seg'egation.
Antl
many
rif the
issues
that
still
trouble Ameriea
harr
roots
in the
bitter erperience
of
other
times.
But ho'weler
long
tire
journey,
our
destirr;r
is
set:
liberty
antl
justice
for
a11.";
Wherreas
President
Bill Clinton also aeknowledgetl
the deep-
scatcrl
prohlcrns
eausecl
hr thc
continuing
lcgatrr of
rae-
ism
agairrst
Alriean-Amcriearis
that bcgan
with slavcry
u4ren
he
initiattxl
a national
dialogue
about
rar:e;
\\Trereas
a
gemrine
apoiog-v
is
an
impor"tant
and
neeessa1'v
first
step in the
proeess
of
raeial
reconeiliation;
Whereas
an
apologr
for
centuries
of bmtal
dehumanization
and
iqjustiees
eannot erase
the
past,
but
confession
of
thelu'ongs
eommitted
ean
speed
ra,cial healing and
rec-
oneiliation and
help
Arncricans eonfront
thc
ghosts
of
thcir
past;
\Yhcreas
thc legislature of
thc Commorlw,calttr of
Yirginia
has
recently
taken
the
lead irr
atlopting
a
resolution
officially
expressing appropriate
remorse for
slar,'ery
and
other
State
legisiatures
har,e
adopted
or
are considering
similar
re.solutions;
and
\Yhereas
it
is
important
for
this country,
wtrich legail,v
recog-
nired
slavery
tluoug'h
its
Constitution
and
its
laws,
to
makc
a
t'rlrmal
apologry
fbr
slar.cry
and
fhr
its
sucecssor,
Jim
Cro'n,
so that
it ean move
forward
and
scck
rcc-
onciliation,
justice,
and
harmony
for
all
of
its
citizens:
liow,
ther"efore,
tre
it
Resolued.,
That
the House of
Representatives*
(1)
acknowledges that
slaver"v
is
irrcompatible
with
the
l:asic fbunding
prineiples
reeogrrized
in
the l)eelara-
tion
of
Indepenclence
ttrat
ail
men
are
ei'eated
equal;
.EffES
I94 EII
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4
(2)
ar';knowletlges
the
firnrlamental injustice,
cmelt;r,
bmtality,
and
inhumanity of slavery
and
Jim Crow;
{3i
apologizes
to
African
Amerieans
on
trehalf
of
tire
people
of
the United States,
for
the
.t+"ongs
committed
against
them
and
their
ancestors
who
suffered
under
slavery anrl Jim Crow;
and
(4)
expresses
its
eontmitutent
to
reeti$'
the
lin-
gering
consequences
of
the
nrisdeeds
eomrnitted a,gainst
Al}iean
Amcrieans
undcr slavcry
and
Jirn Crorv
and
to
stop
thc
oceurrcnec
of
human rights violations
in
thc
fu-
turc.
Attest;
Cl,erk.
rHBES
I94
EII