List of african american names
Pl122610 - Ohio
African American. Filipino. Vietnamese. American. Guatemalan. Other Ethnicity. Asian. Haitain. Unknown/Not Specified. CREDENTIALED HEALTH CARE PROVIDER(S) INVOLVED (Names are not required. Please list additional providers as an attachment. Note there are multiple drop-down menus with different options in each.) Provider 1 Provider 2 Provider 3 ...
Indiana University of Pennsylvania
Item 34, 35 & 36 Names. of Household Members Enter the names (Last, First, Middle Initial) of each member who will be residing in this unit. The first member listed should be the Head of Household. ... If the household member is Black or African-American, as stated on the. form HUD-27061-H, enter B. (MAT 10 Section 3 Fields 18 through 24)
[DOC File]HUD | HUD.gov / U.S. Department of Housing and Urban ...
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Full Legal Name Former Names Date of Birth Place of Birth (City, State) Race American Indian/Alaska Native Native Hawaiian/Other Pacific Islander Black/African American Asian White Hispanic or Latino U.S. Citizen Yes No Ethnicity unknown Yes No If not U.S Citizen, type of …
[DOCX File]FoodShare Six-Month Report
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Feb 09, 2018 · African American. Women. ... NOTE: If the response to Question 2 is yes, please include a list on the next page of all MBE subcontractors, names and addresses, the nature of the services or supplies being furnished, percentage of the overall contract amount and complete the remainder of this form. If the response to Question 2 is no, please ...
[DOCX File]FY14 Discretionary Contract
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If you are creating an electronic version of the full report, use Adobe pdf (or equivalent) to combine the files with this document in a “published” Adobe report. It is very useful to include a Table of Contents or, at a minimum, a list of items contained within each Appendix (e.g., a list of table numbers and names).
Commonwealth of Massachusetts
( African American ( Hispanic ( Asian ( Native American ( Caucasian ( Other (specify): II. Educational Information. List the names of all colleges and universities attended: School Name Enrolled From (Month/Year) Enrolled To (Month/Year) *Please attach a copy of official transcripts for all colleges previously attended, or arrange for ...
CSOC Report Template
Listed below is the information we have about members of your household who have a job. Check “Yes” next to the job if there has been a change in rate, pay, or hours worked or if the job ended. If this individual no longer works with this employer, list the date the job ended. Check “No” if …
Best African American Characters in Film | List of Greatest Black Mo…
February is the month during which we emphasize the contributions of African-Americans to our society. Each year the list of significant contributions grows longer. Below are the names of five well-known African-Americans.
[DOT File]DHS-3153-A, Adoption Application
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Black/African American Asian Native Hawaiian / Other Pacific Islander American Indian / Alaska Native Other TOTAL ... List the names and tittles of the salaried employees allocated to this contract. In case of staff change during FY, indicate name of currently employed staff. ...
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