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. 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) Xxxxxx, Xxxxx Xxxxxx 21. AGENCY CONTACT EMAIL & PHONE xxxxx_xxxxxx@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:

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. 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 Xxxxxxx 21. AGENCY CONTACT EMAIL & PHONE Xxxxxxx_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:0000

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. 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 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

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 00STREET ADDRESS 19. XXXXCITY, XXXXXSTATE, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) XxxxxxXXXXX, Xxxxxx XXXXXXX 21. AGENCY CONTACT EMAIL & PHONE 000-000-0000 xxxxxx_xxxxxx@xxx.xxx xxxxxxx_xxxxx@xxx.xxx 540.999.3500 x3181 22. REIMBURSEMENTS APPROVED: Yes No Type and Rate of Reimbursement: N/A Yes No 23. VOLUNTEER POSITION/GROUP PROJECT TITLE:: PATC VIP

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. 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 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:xxxxxxxx@xxx.xxx

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 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 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:Xxxx_Xxxxxxx@xxx.xxx 510‐792‐0222, x361