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 EMERGENCY CONTACT INFORMATION NAME (Last, First) PHONE Home: Mobile: EMAIL ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇, ZIP CODE AGENCY CONTACT NAME (Last, First) AGENCY CONTACT EMAIL & PHONE REIMBURSEMENTS APPROVED: Yes No Type and Rate of Reimbursement: 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 EMERGENCY CONTACT INFORMATION 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ▇▇▇▇▇▇▇ ADDRESS 18. ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇. ▇▇▇▇, ▇▇▇▇▇, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) 21. AGENCY CONTACT EMAIL & PHONE 22. REIMBURSEMENTS APPROVED: Yes No Type and Rate of Reimbursement: 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 EMERGENCY CONTACT INFORMATION 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ▇▇▇▇▇▇▇ ADDRESS 18. ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇. ▇▇▇▇, ▇▇▇▇▇, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) 21. AGENCY CONTACT EMAIL & PHONE 22. REIMBURSEMENTS APPROVED: Yes No Type and Rate of Reimbursement: 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 EMERGENCY CONTACT INFORMATION 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ADDRESS 18. STREET ADDRESS 19. CITY, STATE, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇, ZIP CODE AGENCY CONTACT NAME (Last, First) ▇ 21. AGENCY CONTACT EMAIL & PHONE ▇▇▇▇▇▇_▇▇▇▇▇▇@▇▇▇.▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ 22. REIMBURSEMENTS APPROVED: Yes No 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 EMERGENCY CONTACT INFORMATION 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ▇▇▇▇▇▇▇ ADDRESS 18. ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇. ▇▇▇▇, ▇▇▇▇▇, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) ▇▇▇▇▇, ▇▇▇▇ 21. AGENCY CONTACT EMAIL & PHONE ▇▇▇▇.▇▇▇▇▇@▇▇▇▇.▇▇▇ ▇▇▇ ▇▇▇ ▇▇▇▇ 22. REIMBURSEMENTS APPROVED: Yes No ✔ No Type and Rate of Reimbursement: 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 a disability? Yes No EMERGENCY CONTACT INFORMATION 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ▇▇▇▇▇▇▇ ADDRESS 18. ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇. ▇▇▇▇, ▇▇▇▇▇, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) ▇▇▇▇▇▇, ▇▇▇▇▇▇ 21. AGENCY CONTACT EMAIL & PHONE ▇▇▇.▇▇▇.▇▇▇▇/▇▇▇▇▇▇▇@▇▇▇.▇▇▇ 22. REIMBURSEMENTS APPROVED: Yes No Type and Rate of Reimbursement: 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 disability? Yes No EMERGENCY CONTACT INFORMATION 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ▇▇▇▇▇▇▇ ADDRESS 18. ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇. ▇▇▇▇, ▇▇▇▇▇, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) ▇▇▇▇▇▇▇▇, ▇▇▇▇▇ 21. AGENCY CONTACT EMAIL & PHONE ▇▇▇▇▇_▇▇▇▇▇▇▇▇@▇▇▇.▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ 22. REIMBURSEMENTS APPROVED: Yes No No Type and Rate of Reimbursement: 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 a disability? Yes No EMERGENCY CONTACT INFORMATION 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ADDRESS 18. STREET ADDRESS 19. CITY, STATE, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇, ZIP CODE AGENCY CONTACT NAME (Last, First) ▇▇ 21. AGENCY CONTACT EMAIL & PHONE ▇▇▇▇▇▇▇_▇▇▇▇▇@▇▇▇.▇▇▇ 540.999.3500 x3181 22. REIMBURSEMENTS APPROVED: Yes No Type and Rate of Reimbursement: 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 EMERGENCY CONTACT INFORMATION 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ▇▇▇▇▇▇▇ ADDRESS 18. ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇. ▇▇▇▇, ▇▇▇▇▇, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) ▇▇▇▇▇▇, ▇▇▇▇▇▇ 21. AGENCY CONTACT EMAIL & PHONE ▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇▇▇▇_▇▇▇▇▇▇@▇▇▇.▇▇▇ 22. REIMBURSEMENTS APPROVED: Yes No 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 EMERGENCY CONTACT INFORMATION NAME (Last, First) PHONE Home: Mobile: EMAIL ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇ADDRESS STREET ADDRESS CITY, ▇▇▇▇▇STATE, ZIP CODE AGENCY CONTACT NAME (Last, First) AGENCY CONTACT EMAIL & PHONE REIMBURSEMENTS APPROVED: Yes No Type and Rate of Reimbursement: 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 EMERGENCY CONTACT INFORMATION 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ▇▇▇▇▇▇▇ ADDRESS 18. ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇. ▇▇▇▇, ▇▇▇▇▇, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) ▇▇▇▇, ▇▇▇▇▇ 21. AGENCY CONTACT EMAIL & PHONE ▇▇▇▇▇_▇▇▇▇@▇▇▇.▇▇▇ 510/792-0222 22. REIMBURSEMENTS APPROVED: Yes No Type and Rate of Reimbursement: Yes X No 23. VOLUNTEER POSITION/GROUP PROJECT TITLE:: ▇▇▇▇ 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 disability? Yes No EMERGENCY CONTACT INFORMATION 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ▇▇▇▇▇▇▇ ADDRESS 18. ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇. ▇▇▇▇, ▇▇▇▇▇, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) ▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇ 21. AGENCY CONTACT EMAIL & PHONE ▇▇▇▇▇_▇▇▇▇▇▇▇▇▇@▇▇▇.▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ 22. REIMBURSEMENTS APPROVED: Yes No Type and Rate of Reimbursement: Yes No 23. VOLUNTEER POSITION/GROUP PROJECT TITLE:: ▇▇▇▇ 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 EMERGENCY CONTACT INFORMATION 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ADDRESS 18. STREET ADDRESS 19. CITY, STATE, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) ▇▇▇▇▇▇▇ , ▇▇▇▇▇▇ 21. AGENCY CONTACT EMAIL & PHONE ▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇, _▇▇▇▇▇, ZIP CODE AGENCY CONTACT NAME (Last, First) AGENCY CONTACT EMAIL & PHONE ▇@▇▇▇.▇▇▇ 22. REIMBURSEMENTS APPROVED: Yes No 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 EMERGENCY CONTACT INFORMATION 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ▇▇▇▇▇▇▇ ADDRESS 18. ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇. ▇▇▇▇, ▇▇▇▇▇, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) ▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇ 21. AGENCY CONTACT EMAIL & PHONE REIMBURSEMENTS APPROVED: Yes No Type and Rate of Reimbursement: 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 EMERGENCY CONTACT INFORMATION 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ▇▇▇▇▇▇▇ ADDRESS 18. ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇. ▇▇▇▇, ▇▇▇▇▇, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) 21. AGENCY CONTACT EMAIL & PHONE 22. REIMBURSEMENTS APPROVED: Yes No No Type and Rate of Reimbursement: 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 EMERGENCY CONTACT INFORMATION 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇ADDRESS 18. STREET ADDRESS 19. CITY, ▇▇▇▇▇STATE, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) 21. AGENCY CONTACT EMAIL & PHONE 22. REIMBURSEMENTS APPROVED: Yes No Type and Rate of Reimbursement: 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 a disability? Yes No EMERGENCY CONTACT INFORMATION 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ▇▇▇▇▇▇▇ ADDRESS 18. ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇. ▇▇▇▇, ▇▇▇▇▇, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) ▇▇▇▇▇ ▇▇▇▇▇▇ 21. AGENCY CONTACT EMAIL & PHONE ▇▇▇▇▇_▇▇▇▇▇▇@▇▇▇.▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ 22. REIMBURSEMENTS APPROVED: Yes No Type and Rate of Reimbursement: 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 a disability? Yes No EMERGENCY CONTACT INFORMATION 15. NAME (Last, First) 16. PHONE Home: Mobile: 17. EMAIL ▇▇▇▇▇▇▇ ADDRESS 18. ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇. ▇▇▇▇, ▇▇▇▇▇, ZIP CODE 20. AGENCY CONTACT NAME (Last, First) ▇▇▇▇▇▇▇, ▇▇▇▇ 21. AGENCY CONTACT EMAIL & PHONE ▇▇▇▇_▇▇▇▇▇▇▇@▇▇▇.▇▇▇ 510-792-0222, x 361 22. REIMBURSEMENTS APPROVED: Yes No Type and Rate of Reimbursement: Yes ✔ No 23. VOLUNTEER POSITION/GROUP PROJECT TITLE:: Cleanup Volunteer