Race and Ethnicity

Ethnicity Categories

• Hispanic or Latino

• Not Hispanic or Latino

The two ethnic categories as revised by the Office of Management and Budget (OMB) are defined as follows.

Hispanic or Latino

• A person of Cuban, Mexican, Puerto Rican, South or Central American, Spanish culture or origin, regardless of race. The term “Spanish origin” can be used in addition to “Hispanic” or “Latino.”

South America• Argentina• Bolivia• Brazil• Chile• Colombia• Ecuador• Guyana • Paraguay• Peru• Suriname• Uruguay• Venezuela• Galapagos

Islands• Falkland Islands• French Guiana

Central America• Belize• Costa Rica• El Salvador• Guatemala• Honduras• Nicaragua• Panama• Jamaica

Not Hispanic or Latino

A person

NOTof Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture

or origin, regardless of race.

Race Categories

• White• Black or African American• Asian• Mexican or America Indian or Alaska Native• Native Hawaiian or Other Pacific Islander

The five racial categories as revised by the Office of Management and Budget (OMB) are defined as follows.

White

• A person having origins in any of the original peoples of Europe, the Middle East or North Africa.

Europe• Albania• Andorra• Armenia• Austria• Azerbaijan• Belgium• Bosnia• Bulgaria• Croatia• Czech

Repub• Estonia• Finland• Georgia• Iceland• Italy• Lithuania• Portugal• Romania• Serbia/

Sweden• Slovenia• Ukraine

Middle East• Afghanistan• Bahrain• Iran• Iraq• Israel• Jordan• Kuwait• Lebanon• Saudi Arabia• Syria• Turkey• Yemen 

North Africa• Algeria• Canary

Islands• Egypt• Libya• Portugal• Portuguese

Madeira Islands

• Sudan• Tunisia• Western

Sahara

Black or African American

• A person having origins in any of the black racial groups of Africa. Terms such as “Haitian” or “Negro” can be used in addition to “Black” or “African American.”

Africa• Algeria • Burundi• Cameroon• Chad• Congo• Eritrea• Ethiopia• Guinea• Haitan• Kenya• Liberia• Madagascar• Nigeria• Ruwanda• Zambia• Zimbabwe

Asian

• A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent

Far East & Southeast Asia• Burma• Cambodia• China• Indonesia• Japan• Korea• Malaysia• Mayanmar• Mongolia• New Guinea• Philippines• Thailand• Vietnam

Indian Subcontinent• Afghanistan• Bangladesh• Bhutan• India• Maldives• Nepal• Pakistan• Sri Lanka

Mexican or American Indian or Alaska Native

• 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.

South America• Argentina• Bolivia• Brazil• Chile• Colombia• Ecuador• Guyana • Paraguay• Peru• Suriname• Uruguay• Venezuela• Galapagos

Islands• Falkland

Islands• French

Guiana

Central America

• Belize• Costa Rica• El Salvador• Guatemala• Honduras• Mexico• Nicaragua• Panama• Jamaica

Native Hawaiian or Other Pacific Islander

• A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

Pacific Islands• Australia• Cook Islands• Fiji• French Polynesia• Futuna• Indonesian provinces• Kiribati• Marshall Islands• Nauru• New Guinea• New Zealand• Niue• Northern Mariana Islands• Palau• Pitcairn• Tokelau• Tonga• Tuvalu• Wallis

Race and Ethnicity Box

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Race (Mark all that apply)

White

Black or African American

Asian

Mexican or American Indian or Alaska Native

Native Hawaiian or Other Pacific Islander

Income Certification

Same family with an income of about $3000 a month.

Family of 4 with a $3000 a month income will be 31% to 50% Very Low income

4 4

Single Person

Black White and Mexican

Gets social security of $756 a month

Single Person

Black, White and Mexican

Gets social security of $756 a month

X

XX

X

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