Common use of Ethnicity Clause in Contracts

Ethnicity. (Select one): Hispanic or Latino Not Hispanic or Latino 14b. Race (Select one or more, regardless of ethnicity): American Indian or Alaskan Native Asian Black or African American White Native Hawaiian or Other Pacific Islander 14c. Are you a Veteran? Yes No 14d. Do you have disability? Yes No 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ADDRESS 18. XXXXXX XXXXXXX 00. XXXX, XXXXX, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) Xxxxxx, Xxxxxx 21. AGENCY CONTACT EMAIL & PHONE 000-000-0000 xxxxxx_xxxxxx@xxx.xxx 22. REIMBURSEMENTS APPROVED: Yes No Type and Rate of Reimbursement: N/A 23. VOLUNTEER POSITION/GROUP PROJECT TITLE:

Ethnicity. (Select one): Hispanic or Latino Not Hispanic or Latino 14b. Race (Select one or more, regardless of ethnicity): American Indian or Alaskan Native Asian Black or African American White Native Hawaiian or Other Pacific Islander 14c. Are you a Veteran? Yes No 14d. Do you have disability? Yes No 15. EMERGENCY CONTACT INFORMATION NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ADDRESS 18. XXXXXXX XXXXXX XXXXXXX 00. XXXX, XXXXX, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) XxxxxxXxxxx, Xxxxxx 21. Xxxxx AGENCY CONTACT EMAIL & PHONE 000-000-0000 xxxxxx_xxxxxx@xxx.xxx 22. xxxxx_xxxxx@xxx.xxx REIMBURSEMENTS APPROVED: Yes No No Type and Rate of Reimbursement: N/A 23. VOLUNTEER POSITION/GROUP PROJECT TITLE:: Marmot Monitoring

Ethnicity. (Select one): Hispanic or Latino Not Hispanic or Latino 14b. Race (Select one or more, regardless of ethnicity): American Indian or Alaskan Native Asian Black or African American White Native Hawaiian or Other Pacific Islander 14c. Are you a Veteran? Yes No 14d. Do you have disability? Yes No 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ADDRESS 18. XXXXXX XXXXXXX 00. XXXX, XXXXX, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) XxxxxxXxxx, Xxxxxx Xxxxx 21. AGENCY CONTACT EMAIL & PHONE 000Xxxxx_xxxx@xxx.xxx 510/792-000-0000 xxxxxx_xxxxxx@xxx.xxx 0222 22. REIMBURSEMENTS APPROVED: Yes No Type and Rate of Reimbursement: N/A Yes X No 23. VOLUNTEER POSITION/GROUP PROJECT TITLE:: Xxxx Blind Repair and Cleanup Volunteer

Ethnicity. (Select one): Hispanic or Latino Not Hispanic or Latino 14b. Race (Select one or more, regardless of ethnicity): American Indian or Alaskan Native Asian Black or African American White Native Hawaiian or Other Pacific Islander 14c. Are you a Veteran? Yes No 14d. Do you have a disability? Yes No 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ADDRESS 18. XXXXXX XXXXXXX 00. XXXX, XXXXX, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) Xxxxxx, Xxxxxx Xxxxxxxx 21. AGENCY CONTACT EMAIL & PHONE 000-000xxxxxxxx.xxxxxx@xxxx.xxx; (000)000-0000 xxxxxx_xxxxxx@xxx.xxx 22. REIMBURSEMENTS APPROVED: Yes No Type and Rate of Reimbursement: N/A Yes ✔ No 23. VOLUNTEER POSITION/GROUP PROJECT TITLE:: Trail Maintenance

Ethnicity. (Select one): Hispanic or Latino Not Hispanic or Latino 14b. Race (Select one or more, regardless of ethnicity): American Indian or Alaskan Native Asian Black or African American White Native Hawaiian or Other Pacific Islander 14c. Are you a Veteran? Yes No 14d. Do you have disability? Yes No 15. EMERGENCY CONTACT INFORMATION NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ADDRESS 18. XXXXXX XXXXXXX 00. XXXXSTREET ADDRESS CITY, XXXXXSTATE, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) XxxxxxXxxxx, Xxxxxx 21. AGENCY CONTACT EMAIL & PHONE Xxxxxx_xxxxx@xxx.xxx (000-) 000-0000 xxxxxx_xxxxxx@xxx.xxx 22. REIMBURSEMENTS APPROVED: Yes No No Type and Rate of Reimbursement: N/A 23. VOLUNTEER POSITION/GROUP PROJECT TITLE:

Ethnicity. (Select one): Hispanic or Latino Not Hispanic or Latino 14b. Race (Select one or more, regardless of ethnicity): American Indian or Alaskan Native Asian Black or African American White Native Hawaiian or Other Pacific Islander 14c. Are you a Veteran? Yes No 14d. Do you have a disability? Yes No 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ADDRESS 18. XXXXXX XXXXXXX 00. XXXX, XXXXX, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) XxxxxxXxxxx, Xxxxxx Xxxx 21. AGENCY CONTACT EMAIL & PHONE 000-000-xxxx.xxxxx@xxxx.xxx 000 000 0000 xxxxxx_xxxxxx@xxx.xxx 22. REIMBURSEMENTS APPROVED: Yes ✔ No Type and Rate of Reimbursement: N/A 23. VOLUNTEER POSITION/GROUP PROJECT TITLE:: Trail and parking maintenance Watauga RD

Ethnicity. (Select one): Hispanic or Latino Not Hispanic or Latino 14b. Race (Select one or more, regardless of ethnicity): American Indian or Alaskan Native Asian Black or African American White Native Hawaiian or Other Pacific Islander 14c. Are you a Veteran? Yes No 14d. Do you have disability? Yes No 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ADDRESS 18. XXXXXX XXXXXXX 00. XXXX, XXXXX, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) XxxxxxXxxxxxxx, Xxxxxx Xxxxx 21. AGENCY CONTACT EMAIL & PHONE Xxxxx_Xxxxxxxx@xxx.xxx 000-000-0000 xxxxxx_xxxxxx@xxx.xxx 22. REIMBURSEMENTS APPROVED: Yes No Type and Rate of Reimbursement: N/A 23. VOLUNTEER POSITION/GROUP PROJECT TITLE:: Colonial Night Watch 2019

Ethnicity. (Select one): Hispanic or Latino Not Hispanic or Latino 14b. Race (Select one or more, regardless of ethnicity): American Indian or Alaskan Native Asian Black or African American White Native Hawaiian or Other Pacific Islander 14c. Are you a Veteran? Yes No 14d. Do you have a disability? Yes No 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ADDRESS 18. XXXXXX XXXXXXX 00. XXXX, XXXXX, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) XxxxxxXxxxxxx, Xxxxxx Xxxx 21. AGENCY CONTACT EMAIL & PHONE 000Xxxx_Xxxxxxx@xxx.xxx 510-000792-0000 xxxxxx_xxxxxx@xxx.xxx 0222, x 361 22. REIMBURSEMENTS APPROVED: Yes No Type and Rate of Reimbursement: N/A Yes ✔ No 23. VOLUNTEER POSITION/GROUP PROJECT TITLE:: Cleanup Volunteer

Ethnicity. (Select one): Hispanic or Latino Not Hispanic or Latino 14b. Race (Select one or more, regardless of ethnicity): American Indian or Alaskan Native Asian Black or African American White Native Hawaiian or Other Pacific Islander 14c. Are you a Veteran? Yes No 14d. Do you have disability? Yes No 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ADDRESS 18. XXXXXX XXXXXXX 00. XXXX, XXXXX, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) XxxxxxXxxxxxxx, Xxxxxx Xxxxx 21. AGENCY CONTACT EMAIL & PHONE Xxxxx_Xxxxxxxx@xxx.xxx 000-000-0000 xxxxxx_xxxxxx@xxx.xxx 22. REIMBURSEMENTS APPROVED: Yes No Type and Rate of Reimbursement: N/A 23. VOLUNTEER POSITION/GROUP PROJECT TITLE:: Colonial Night Watch 2018

Ethnicity. (Select one): Hispanic or Latino Not Hispanic or Latino 14b. Race (Select one or more, regardless of ethnicity): American Indian or Alaskan Native Asian Black or African American White Native Hawaiian or Other Pacific Islander 14c. Are you a Veteran? Yes No 14d. Do you have disability? Yes No 15. EMERGENCY CONTACT INFORMATION NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ADDRESS 18. XXXXXXX XXXXXX XXXXXXX 00. XXXX, XXXXX, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) Xxxxxx, Xxxxxx 21. AGENCY CONTACT EMAIL & PHONE Xxxxxx_xxxxxx@xxx.xxx; (000-) 000-0000 xxxxxx_xxxxxx@xxx.xxx 22. REIMBURSEMENTS APPROVED: Yes No No Type and Rate of Reimbursement: N/A 23. VOLUNTEER POSITION/GROUP PROJECT TITLE:: Whiteoak Sink Volunteer Rovers

Ethnicity. (Select one): Hispanic or Latino Not Hispanic or Latino 14b. Race (Select one or more, regardless of ethnicity): American Indian or Alaskan Native Asian Black or African American White Native Hawaiian or Other Pacific Islander 14c. Are you a Veteran? Yes No 14d. Do you have disability? Yes No 15. EMERGENCY CONTACT INFORMATION NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ADDRESS 18. XXXXXXX XXXXXX XXXXXXX 00. XXXX, XXXXX, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) XxxxxxXxxxxxx, Xxxxxx 21. AGENCY CONTACT EMAIL & PHONE 000-000-0000 xxxxxx_xxxxxx@xxx.xxx 22. Xxxxxx_Xxxxxxx@xxxxxxx.xxx.xxx REIMBURSEMENTS APPROVED: Yes No x No Type and Rate of Reimbursement: N/A 23. VOLUNTEER POSITION/GROUP PROJECT TITLE:: Earth Day Volunteer

Ethnicity. (Select one): Hispanic or Latino Not Hispanic or Latino 14b. Race (Select one or more, regardless of ethnicity): American Indian or Alaskan Native Asian Black or African American White Native Hawaiian or Other Pacific Islander 14c. Are you a Veteran? Yes No 14d. Do you have disability? Yes No 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ADDRESS 18. XXXXXX XXXXXXX 00STREET ADDRESS 19. XXXXCITY, XXXXXSTATE, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) Xxxxxx, Xxxxxx 21. AGENCY CONTACT EMAIL & PHONE 000-000-0000 xxxxxx_xxxxxx@xxx.xxx 22. REIMBURSEMENTS APPROVED: Yes No Type and Rate of Reimbursement: N/A 23. VOLUNTEER POSITION/GROUP PROJECT TITLE:: Ice Age NST Volunteer

Ethnicity. (Select one): Hispanic or Latino Not Hispanic or Latino 14b. Race (Select one or more, regardless of ethnicity): American Indian or Alaskan Native Asian Black or African American White Native Hawaiian or Other Pacific Islander 14c. Are you a Veteran? Yes No 14d. Do you have disability? Yes No 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ADDRESS 18. XXXXXX XXXXXXX 00. XXXX, XXXXX, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) XxxxxxXxxxxxxxx, Xxxxxx Xxxxx 21. AGENCY CONTACT EMAIL & PHONE xxxxx_xxxxxxxxx@xxx.xxx 000-000-0000 xxxxxx_xxxxxx@xxx.xxx 22. REIMBURSEMENTS APPROVED: Yes No Type and Rate of Reimbursement: N/A Yes No 23. VOLUNTEER POSITION/GROUP PROJECT TITLE:: Xxxx Blind Preparation

Ethnicity. (Select one): Hispanic or Latino Not Hispanic or Latino 14b. Race (Select one or more, regardless of ethnicity): American Indian or Alaskan Native Asian Black or African American White Native Hawaiian or Other Pacific Islander 14c. Are you a Veteran? Yes No 14d. Do you have disability? Yes No 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ADDRESS 18. XXXXXX XXXXXXX 00. XXXX, XXXXX, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) Xxxxxx, Xxxxxx 21. AGENCY CONTACT EMAIL & PHONE 000-000-0000 xxxxxx_xxxxxx@xxx.xxx 22. REIMBURSEMENTS APPROVED: Yes No Type and Rate of Reimbursement: N/A 23. VOLUNTEER POSITION/GROUP PROJECT TITLE:: Ice Age NST Volunteer

Ethnicity. (Select one): Hispanic or Latino Not Hispanic or Latino 14b. Race (Select one or more, regardless of ethnicity): American Indian or Alaskan Native Asian Black or African American White Native Hawaiian or Other Pacific Islander 14c. Are you a Veteran? Yes No 14d. Do you have disability? Yes No 15. EMERGENCY CONTACT INFORMATION NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ADDRESS 18. XXXXXXX XXXXXX XXXXXXX 00. XXXX, XXXXX, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) Xxxxxx, Xxxxxx 21. Xxxxxxxxxxx AGENCY CONTACT EMAIL & PHONE Xxxxx_xxxxxx@xxx.xxx 000-000-0000 xxxxxx_xxxxxx@xxx.xxx 22. x000 REIMBURSEMENTS APPROVED: Yes No No Type and Rate of Reimbursement: N/A 23. VOLUNTEER POSITION/GROUP PROJECT TITLE:: Resource Management

Ethnicity. (Select one): Hispanic or Latino Not Hispanic or Latino 14b. Race (Select one or more, regardless of ethnicity): American Indian or Alaskan Native Asian Black or African American White Native Hawaiian or Other Pacific Islander 14c. Are you a Veteran? Yes No 14d. Do you have disability? Yes No 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ADDRESS 18. XXXXXX XXXXXXX 00STREET ADDRESS 19. XXXXCITY, XXXXXSTATE, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) Xxxxxx, Xxxxxx 21. AGENCY CONTACT EMAIL & PHONE xxxxxx_xxxxxx@xxx.xxx 000-000-0000 xxxxxx_xxxxxx@xxx.xxx 22. REIMBURSEMENTS APPROVED: Yes X No Type and Rate of Reimbursement: N/A 23. VOLUNTEER POSITION/GROUP PROJECT TITLE:: Ice Age NST Volunteer

Ethnicity. (Select one): Hispanic or Latino Not Hispanic or Latino 14b. Race (Select one or more, regardless of ethnicity): American Indian or Alaskan Native Asian Black or African American White Native Hawaiian or Other Pacific Islander 14c. Are you a Veteran? Yes No 14d. Do you have a disability? Yes No 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ADDRESS 18. XXXXXX XXXXXXX 00. XXXX, XXXXX, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) Xxxxxx, Xxxxxx 21. AGENCY CONTACT EMAIL & PHONE 000-000-0000 xxxxxx_xxxxxx@xxx.xxx 000.000.0000/xxxxxxx@xxx.xxx 22. REIMBURSEMENTS APPROVED: Yes No Type and Rate of Reimbursement: N/A Yes ✔ No 23. VOLUNTEER POSITION/GROUP PROJECT TITLE:: IFNM Restoration