Part 1. Ethnicity is the person Hispanio/Latino (choose only one)
Hispanic/Latino A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or ori- gin. regardless of race.
Not Hispanic/Latino
Part 2. Race: What is the person’s race? (Choose one or more)
American Indian or Alaska Native - A person having origins in any of the original peoples ofNorth and South America (including Central America), and who maintains a tribal affiliationor community attachment.
Asian - A person having origins in any of the original peoples of the Far East, Southeast Asia,or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea,Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
Black or African American - A person having origins in any of the black racial groups ofAfrica
Native Hawaiian or Other Pacific Islander - A person having origins in any of the originalpeoples of Hawaii, Guam, Samoa, or other Pacific Islands
White - A person having origins in any of the original peoples of Europe, the Middle East, orNorth Africa
Other
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