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

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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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)

Birthdate (Month and Year)

Bryant, Brenda J

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
question 1, go to question 2.
Question

1.

Are You Hispanic or Latino? (A per$on of Cuban, Mexican, Puerto Rican, South or Central American, ol other

Spanish culturE or origin, regardless of race.)

flves fit tlo

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)

American
lndian orAlaska Native
EI

DEFINITION OF CATEGORY

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.

ft Asian

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.

il

Hack orAfrican American

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

ff

Native Hawaiian or Other Pacific lslander

A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or

El tmite

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

'iffi!:l?
AUTHENTICATED

/,>

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 coionics from 1619 through 18ti5;
Whereas s1alery in Amerit:a reselnbied no other form of involuntary serviturle kno$tr in history, as Af icans \vere oaphrred and sold at auction like inanimate objeets or attimals;
\Vhereas Af'rieans forced into slarrely \Yere brutalized, hurniliateil, 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
ileptintled bt>
persons of African deseent upon whieh

it

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 Constitution in 1865 a.fter the end of the Civi} l&'ar;
whcrcas afier crrianeipation titnr 246 l,gnr* of'slavery, fffiean-Ameriealls sooll saw the flceting political, social, and
egongrnic gains they made fluring Recolshrrction eviscerated by vinrlent racistn, lynchings, disenfranchisemento

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
'W-ar
tbllrxving thc Civil
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.';

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

Whcrcas

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 artknowledged 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

: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.";

Bill Clinton also aeknowledgetl the deepscatcrl prohlcrns eausecl hr thc continuing lcgatrr of raeism agairrst Alriean-Amcriearis that bcgan with slavcry

Wherreas President

u4ren he

\\Trereas

initiattxl a national dialogue about

rar:e;

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 reconeiliation 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

it

is important for this country, wtrich legail,v recognired 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 rcconciliation, justice, and harmony for all of its citizens:
liow, ther"efore, tre it

\Yhereas

Resolued.,

That the House of Representatives*

(1) acknowledges that

slaver"v

is irrcompatible with

the l:asic fbunding prineiples reeogrrized in the l)eelaration of Indepenclence ttrat ail men are ei'eated equal;
.EffES I94 EII

(2) ar';knowletlges the firnrlamental injustice, cmelt;r,

bmtality, and inhumanity of slavery and Jim Crow;

{3i apologizes to African Amerieans

people of the United States,

on trehalf of tire

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