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"Common Thread"
Title: "Common Threads" Photography: Jack Ramsdale Artist: Meg Saligman Disclaimer

Affirmative Action Identification Form



A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

A person having origins in any of the original pepoles of Europe, the MiddleEast, or North Africa.

A persons having origins in any of the Black racial groups of Africa.

A person having origins in any of the original peoples of Far East, Southeast Asia or the Indian Subcontinent, including for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, The Philippine Islands, Thailand, and Vietnam.

A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.

(Please choose one of the options below if it describes your veteran status)

(A) a veteran is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Veterans Administration for a disability (i) rated at 30 percent or more or (ii) rated at 10 to 20 percent in the case of a veteran who has been deteremined under Section 1506 of Title 38, U.S.C. to have a serious employment handicap or (B) a person who was dischared or released from active duty because of a serviec-related disability.

a veteran, any part of whose active-duty military, naval, or air service, was during the period of August 5, 1964 through May 7, 1975 who - (i) served on active duty for a period of more than 180 days and was discharged or released therefrom with other than a dishonorable discharge, or (ii) was dischared from active duty because of a service-connected disability.

a veteran who has served on active duty during a war or in a campaign or expedition for which a campaign badge has been authorized.