sf 181 and ssa-tiyemerenaset ma'at el

7/25/2019 SF 181 and SSA-Tiyemerenaset Ma'at El

1/7

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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3/7

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


4/7

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


5/7

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


6/7

: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


7/7

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

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