Standart Form 256 PDF Details

Filling out the Standard 256 form is a step that many individuals encounter when applying for employment within the Navy Exchange Service Command (NEXCOM). This comprehensive form serves multiple purposes, primarily designed to gather necessary personal and professional information to determine an applicant's qualifications, suitability, and availability for employment opportunities. It covers extensive ground, asking for details ranging from personal contact information and work history to more sensitive areas such as citizenship status, criminal record declarations, and particulars about military discharges where applicable. Moreover, the form acts as a conduit for consent, allowing the NEXCOM to perform background checks and verify the information provided by the applicant. Notably, it encompasses self-identification areas for handicap status, inviting candidates to disclose any disabilities voluntarily, which plays a critical part in ensuring equal employment opportunities and accommodations. Besides its role in the hiring process, certain sections highlight the form's adherence to privacy laws and the voluntary nature of the information solicitation, underscoring the balance between the need for comprehensive applicant data and respect for individual privacy rights.

QuestionAnswer
Form NameStandart Form 256
Form Length8 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min
Other namesabiliy, Rican, navy exchange application form, zYes

Form Preview Example

NAVY EXCHANGE EMPLOYMENT APPLICATION

PRIVACY ACT NOTICE

Authority: 5 USC 301, E.O. 9397, and Departmental Regulations.

Purpose(s): To collect information needed to determine qualifications, suitability and availability of applicants for employment. Your completed application may be used to examine, rate and/or assess your qualifications, and restrictions based on citizenship, members of family already employed, residence requirements and to contact you concerning availability for an interview.

All or part of your completed NES127 employment application may be disclosed to:

VAppropriate federal, state, or local law enforcement agencies charged with the responsibility of investigating a violation or potential violation of the law. V Your college or university placement office.

Disclosure: Voluntary, however, failure to disclose requested information may result in your not receiving full consideration for a position in which this information is needed.

Name

 

 

 

 

 

Position Applied For

Announcement Number

 

Date

 

 

 

 

 

 

 

 

 

 

 

Social Security Number

 

Street Address

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

County

State

 

Zip Code

 

Home Phone

 

Alternate Phone

 

Salary Desired

 

 

 

 

 

 

 

 

 

 

 

Date Available To Start Work:

 

 

 

Interested in:

Z Full-time Z Part-time

Z Flex

Z 1st Shift

Z 2nd Shift Z 3rd Shift

 

 

 

 

 

 

 

 

Military Dep

Are you 18 years or older?

 

Are you

a U.S. citizen or national, an alien lawfully admitted to permanent residence authorized to work in the

Z Yes Z No

Z Yes

Z No

 

 

U.S?

 

 

 

 

 

 

Relative(s) employed with, and/or have business dealings with the Navy Exchange System. (Name(s) , Position(s) and Relationship). Z No Z Yes:

Explain

 

 

Have you ever pled guilty, no contest, had a suspended imposition of sentence, or been convicted of any offense (other than minor traffic violations)?

Z Yes

Z No

 

If yes, state dates, places, and nature of each conviction. Attach additional pages as necessary. (A conviction record will not necessarily result in denial of

 

(List most recent employment first)

BUSINESS OR WORK HISTORY

(* Required fields regardless of

resume submitted)

 

 

 

 

 

NAME OF COMPANY

 

 

KIND OF BUSINESS

TELEPHONE NUMBER

 

 

 

 

 

 

 

STREET ADDRESS

 

CITY

STATE

ZIP CODE

 

 

 

 

 

 

 

NAME AND TITLE OF IMMEDIATE SUPERVISOR

 

 

MO/YR EMPLOYED *

STARTING SALARY*

 

 

 

 

 

 

 

YOUR TITLE AND DESCRIPTION OF DUTIES

 

 

MO/YR LEFT*

SALARY AT LEAVING*

 

 

 

 

 

 

 

 

 

 

REASON FOR LEAVING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF COMPANY

 

 

KIND OF BUSINESS

TELEPHONE NUMBER

 

 

 

 

 

 

 

STREET ADDRESS

 

CITY

STATE

ZIP CODE

 

 

 

 

 

 

 

NAME AND TITLE OF IMMEDIATE SUPERVISOR

 

 

MO/YR EMPLOYED *

STARTING SALARY*

 

 

 

 

 

 

 

YOUR TITLE AND DESCRIPTION OF DUTIES

 

 

MO/YR LEFT*

SALARY AT LEAVING*

 

 

 

 

 

 

 

 

 

 

REASON FOR LEAVING*

 

 

 

 

 

 

 

 

NAME OF COMPANY

 

 

KIND OF BUSINESS

TELEPHONE NUMBER

 

 

 

 

 

 

 

STREET ADDRESS

 

CITY

STATE

ZIP CODE

 

 

 

 

 

 

 

NAME AND TITLE OF IMMEDIATE SUPERVISOR

 

 

MO/YR EMPLOYED *

STARTING SALARY*

YOUR TITLE AND DESCRIPTION OF DUTIES

MO/YR LEFT*

SALARY AT LEAVING*

REASON FOR LEAVING*

(Work history supplement available upon request)

EDUCATION

TYPE OF SCHOOL

NAME OF SCHOOL, CITY AND STATE

MAJOR FIELD

DEGREE

YEARS

CREDIT

 

 

 

 

 

ATTENDED

HOURS

 

 

 

 

 

 

 

HIGH SCHOOL

 

 

 

 

 

 

COLLEGE

 

 

 

 

 

 

 

 

 

 

 

 

 

GRADUATE SCHOOL

 

 

 

 

 

 

 

 

 

 

 

 

 

TRADE SCHOOL

 

 

 

 

 

 

OR OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

List extracurricular activities you participated in:

MILITARY

 

BRANCH OF SERVICE

DATE DISCHARGED

RANK AT SEPARATION

TYPE OF DISCHARGE

 

 

 

RETIRED?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Z Yes

Z No

 

 

 

 

 

 

 

 

 

 

 

Describe briefly major duties and responsibilities.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How did you hear about employment opportunities at the Navy Exchange?

 

 

 

 

 

 

 

Z

State Employment Office

Z

NEXCOM Website

Z

Friend

 

 

 

 

 

 

Z

Newspaper Ad

Z

Walk-in

 

Z

Other

_________________________ Z

Web Advertisement

 

 

 

Have you ever worked in the Navy Exchange Program? Z

Yes

Z No ( If yes, give full details: Where? When? From - To: Job Title, Salary, etc.)

 

 

 

Have you ever worked for another NAF (i.e. MWR, AAFES, Marine Corps exchange, etc.)

Z Yes

Z No (If yes, Job Title? Salary? Agency/Location?

Employment Dates?)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have you ever received benefits under the Voluntary Separation Incentive (VSI) or Special Separation Benefit (SSB)?

Z Yes

Z No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Effective 1 Oct 1994, former military members hired by DOD Activities as civilians within 180 days of their separation under either VSI or SSB programs are now required to forfeit all incentives received.

Have you ever worked for the Federal Government as a Civil Service employee?

 

Z Yes

Z No

 

 

 

 

 

 

 

 

 

 

 

If your answer is Yes, give name and address of Agency/Command.

 

 

 

 

 

 

 

 

 

 

 

Dates of employment:

From:

/

/

 

To:

/

/

 

 

 

 

 

Have you ever received Separation Incentive Pay (SIP)?

Z Yes

Z No

 

 

A government employee who has received a Voluntary Separation Incentive payment and who accepts employment with the Government of the United States within 5 years after the date of the separation on which the payment is based, shall be required to repay the entire amount of the incentive payment to the agency that paid the incentive payment.

If yes, give date received.

/

/

REQUIRED CERTIFICATION

I certify that, to the best of my knowledge and belief, my statements and information on this employment application are true, correct, complete, and made in good faith. I consent to the release of information about my ability and fitness for Navy Exchange System employment by employers, schools, law enforcement agencies and other individuals and organizations, to investigators, and other authorized employees of the Navy Exchange System. I agree to supply additional information as required, and to submit to any physical examinations that may be required. I understand that a false statement made by me or false information submitted by me, may be grounds for not hiring me or for terminating me after I have started work.

_____________________________________

___________________

Applicant's Signature

Date

 

 

HR OFFICE USE ONLY UPON SELECTION

 

Job No.

Job Title

Position Number

Grade/Series

Location

 

 

 

 

 

 

Emergency POC: Name

 

Relationship

Address

Phone Number

 

 

 

 

 

 

Martial Status:

Z Single

Z Married Z Head of Household Z Separated

Z Divorced

Z Widowed

Z Common Law

CRC Recommended Z Yes Z

No

 

 

 

 

 

 

 

 

 

 

NES127 (Rev. 12/02)

EQUAL OPPORTUNITY EMPLOYER

 

 

BACKGROUND VERIFICATION DISCLOSURE

As part of the employment process, the Navy Exchange may obtain a Criminal Record Check and/or an investigative Consumer Report. The Fair Credit Reporting Act, as amended by the Consumer Report Reform Act of 1996, requires that we advise you, that for purposes of employment only, a Consumer Report may be made. This report may include information about your character, general reputation, personal characteristics, or mode of living. Upon written request, additional information as to the nature and scope of the report, if one is made, will be provided in the event that the report contains information regarding your character, general reputation, personal characteristics, or mode of living.

AUTHORIZATION AND RELEASE

During the application process, and at the time during any subsequent employment, I hereby authorize ChoicePoint Services, Inc., on behalf of the Navy Exchange, to procure a Consumer Report, which I understand may include information regarding my character, general information, personal characteristics, or mode of living. This report may be complied with information from court record repositories, department of motor vehicles, past or present employers and educational institutions, governmental occupational licensing or registration entries, business or personal references, and any other source required to verify information that I have voluntarily supplied. I understand that I may request a complete and accurate disclosure of the nature and scope of the background verification, to the extent such investigation includes information bearing on my character, general reputation, personal characteristics, or mode of living.

Applicant/Employee Name and Signature

Date

Social Security Number

Date of Birth

REV 1/04

SELF-IDENTIFICATION OF HANDICAP

(See instructions and Privacy Act information on reverse)

Last Name, First Name, Middle Initial

Birth Date (Mo./Yr.) Social Security Number

ENTER CODE HERE

 

 

DEFINITION OF A HANDICAP: A person is handicapped if he or

are to be reported are listed below (codes in bold numbers 13

she has a physical or mental impairment which substantially limits

through 94). In the case of multiple impairments, choose the code

one or more major life activities; has a record of such impairment;

which describes the impairment that would result in the most sub-

or is regarded as having such impairment. Those handicaps that

stantial limitation.

 

 

 

 

 

 

TO THE EMPLOYEE: Self-identification of handicap status is

PARTIAL PARALYSIS

 

essential for effective data collection and analysis. The informa-

(Because of a brain, nerve, or muscle problem, including palsy and cerebral

tion you provide will be used for statistical purposes only and will

palsy, there is some loss of abiliy to move or use a part of the body, including

legs, arms, and/or trunk.)

 

not in any way affect you individually. While self-identification is

 

61

One hand

67 One side of body, including one arm

voluntary, your cooperation in providing accurate information is

62

One arm, any part

and one leg

critical.

 

63

One leg, any part

 

 

 

 

 

 

01

I do not wish to identify my handicap status. (Please read the employee

 

64

Both hands

68 Three or more major parts of the

 

note above and the reverse side of this form before using this code.) (Note:

65

Both legs, any part

body (arms and legs)

 

Your personnel officer may use this code if, in his or her judgment, you

 

 

 

66

 

 

 

used an incorrect code.)

Both arms, any part

 

 

 

 

 

 

 

05 I do not have a handicap.

COMPLETE PARALYSIS

 

(Because of a brain, nerve, or muscle problem, including palsy and cerebral

 

 

 

 

 

 

 

 

palsy, there is a complete loss of abiliy to move or use a part of the body,

06 I have a handicap but it is not listed below.

including legs, arms, and/or trunk.)

 

 

 

 

 

70

One hand

76 Lower half of body, including legs

SPEECH IMPAIRMENTS

71

Both hands

 

 

 

 

 

 

13

Severe speech malfunction or inability to speak; hearing is normal (Ex-

72

One arm

77 One side of body, including one arm

 

amples: defects of articulation [unclear language sounds]; stuttering;

 

73

Both arms

and one leg

 

aphasia [impaired language function]; laryngectomy [removal of the "voice

 

 

 

box"])

74

One leg

78 Three or more major parts of the

 

 

 

 

75

Both legs

 

 

 

 

body (arms and legs)

HEARING IMPAIRMENTS

 

 

 

 

 

 

 

 

 

 

15

Hard of hearing (Total deafness in one ear or inability to hear ordinary

OTHER IMPAIRMENTS

 

 

conversation, correctable with a hearing aid)

80

Heart disease with no restriction or limitation of activity (History of heart

16

Total deafness in both ears, with understandable speech

 

problems with complete recovery)

 

 

 

 

 

17Total deafness in both ears, and unable to speak clearly

 

81

Heart disease with restriction or limitation of activity

 

82

Convulsive disorder (e.g., epilepsy)

VISION IMPAIRMENTS

22 Ability to read ordinary size print with glasses, but with loss of peripheral

83

Blood diseases (e.g., sickle cell anemia, leukemia, hemophilia)

(side) vision (Restriction of the visual field to the extent that mobility is

 

 

affected--"Tunnel vision")

84

Diabetes

 

23Inability to read ordinary size print, not correctable by glasses (Can read

 

oversized print or use assisting devices such as glass or projector modifier)

86

Pulmonary or respiratory disorders (e.g., tuberculosis, emphysema,

24

Blind in one eye

 

asthma)

25

Blind in both eyes (No usable vision, but may have some light perception)

87

Kidney dysfunctioning (e.g., if dialysis [Use of an artificial kidney machine]

 

 

 

 

 

is required)

MISSING EXTREMITIES

 

 

 

27

One hand

88

Cancer--a history of cancer with complete recovery

 

 

28

One arm

89

Cancer--undergoing surgical and/or medical treatment

 

 

29One foot

32

One leg

90 Mental retardation (A chronic and lifelong condition involving a limited ability

33

Both hands or arms

to learn, to be educated, and to be trained for useful productive employ-

ment as certified by a State Vocational Rehabilitation agency under sec-

34

Both feet or legs

tion 213.3102(t) of Schedule A)

 

 

35One hand or arm and one foot or leg

36

One hand or arm and both feet or legs

91

Mental or emotional illness (A history of treatment for mental or emotional

37

Both hands or arms and one foot or leg

 

problems)

 

 

38

Both hands or arms and both feet or legs

92

Severe distortion of limbs and/or spine (e.g., dwarfism, kyphosis [severe

 

 

 

 

 

 

distortion of back])

NONPARALYTIC ORTHOPEDIC IMPAIRMENTS

 

 

 

(Because of chronic pain, stiffness, or weakness in bones or joints, there is

93

Disfigurement of face, hands, or feet (e.g., distortion of features on skin,

some loss of ability to move or use a part or parts of the body.)

 

such as those caused by burns, gunshot injuries, and birth defects [gross

44

One or both hands

47

One or both legs

 

facial birthmarks, club feet, etc.])

45

One or both feet

48

Hip or pelvis

94

Learning disability (A disorder in one or more of the processes involved

 

 

 

 

 

46

One or both arms

49

Back

 

in understanding, perceiving, or using language or concepts [spoken or

57

Any combination of two or more parts of the body

 

written]; e.g., dyslexia)

 

 

 

 

 

 

 

 

 

256-104

7540-01-028-2848

Previous edition unusable

 

Standard Form 256 (Rev. 8/87)

 

U.S. Office of Personnel Management

 

 

 

 

 

 

FPM Supplement 296-1

will as-
with the exception of employ-

The Rehabilitation Act of 1973 (P.L. 93-112) requires each agency in the Executive branch of the Federal Govern- ment to establish definite programs that will facilitate the hiring, placement, and advancement of handicapped indi- viduals. The best means of determining agency progress in this respect is through the production of reports at cer- tain intervals showing such things as the number of handi- capped employees hired, promoted, trained, or reassigned over a given time period; the percentage of handicapped employees in the work force and in various grades and occupations; etc. Such reports bring to the attention of agency top management, the Office of Personnel Manage- ment (OPM), and the Congress deficiencies within specific agencies or the Federal Government as a whole in the hir- ing, placement, and advancement of handicapped individ- uals and, therefore, are the essential first step in improving these conditions and consequently meeting the require- ments of the Rehabilitation Act.

The handicap data collected on employees will be used only in the production of reports such as those previously mentioned and not for any purpose that will affect them individually. The only exception to this rule is that the rec- ords may be used for selective placement purposes and selecting special populations for mailing of voluntary per- sonnel research surveys. In addition, every precaution will be taken to ensure that the information provided by each employee is kept in the strictest confidence and is known only to the one or two individuals in the agency Personnel Office who obtain and record the information for entry into the agency's and OPM's personnel systems. You should also be aware that participation in the handicap reporting system is entirely voluntary,

ees appointed under Schedule A, section 213.3102(t) (Men- tal Retardation); Schedule A, section 213.3102(u) (Severely Physically Handicapped); and Schedule B, section 213.3202(k) (Mentally Restored). These employees will

be requested to identify their handicap status and if they decline to do so, their correct handicap code will be ob- tained from medical documentation used to support their appointment. No other employees will be required to iden- tify their handicap status if they feel for any reason it is not in their best interest to have this information officially re- corded outside of medical records. We request only that anyone not wishing to have this information entered in the agency's and OPM's personnel systems indicate this to their Personnel Office, rather than intentionally miscoding them- selves, since false responses will seriously damage the sta- tistical value of the reporting system.

[In those instances where the employee is or was hired under Schedule A, section 213.3102(t) (Mental Retarda- tion), the Personnel Director or his/her disignee (a Voca- tional Rehabilitation Counselor may also be helpful)

sist the individual in completing this form and ensure that the employee fully understands the meaning of the form and the options available to him/her, as noted above.]

Employees will be given every opportunity to ensure that the handicap code carried in their agency's and OPM's personnel systems is accurate and is kept current. They may exercise this opportunity by asking their Personnel Officer to see a printout of the code and definition from their record, by notifying Personnel any time their handi- cap status changes, and by initiating action in either of these cases to have the necessary changes made to their records. The code carried on employees in their agency's system will be identical to that carried in OPM's system, and any change to the agency records will result in the same change being made to OPM's records.

PRIVACY ACT STATEMENT

Collection of the requested information is authorized by the Rehabilitation Act of 1973 (P.L. 93-112). The informa- tion you furnish will be used for the purpose of producing statistical reports to show agency progress in hiring, place- ment, and advancement of handicapped individuals and to locate individuals for voluntary participation in surveys. The reports will be used to inform agency top management, the Office of Personnel Management (OPM), the Congress, and the public of the status of programs for employment of the handicapped. All such reports will be in the form of aggregate totals and will not identify you in any way as an individual.

Solicitation of your Social Security Number (SSN) is auth- orized by Executive Order 9397, which requires agencies to use the SSN as the means for identifying individuals in personnel information systems. Your SSN will only be used to ensure that your correct handicap code is recorded along with the other employee information that your agency and OPM maintain on you. Furnishing your SSN or any other of the requested data for this collection effort is voluntary and failure to do so will have no effect on you. It should be noted, however, that where individuals decline to furnish their SSN, the SSN will be obtained from other records in order to ensure accurate and complete data.

Employees appointed under Schedule A, section 213.3102(t) (Mental Retardation), Schedule A, section 213.3102(u) (Severely Physically Handicapped), or Sched- ule B, section 213.3202(k) (Mentally Restored) are re- quested to furnish an accurate handicap code, but failure

to do so will have no effect on them. Where employees hired under one of these appointments fail to disclose their handi- cap, however, the appropriate code will be determined from the employee's existing records or medical documentation submitted to justify the appointment.

Standard Form 256 BACK *U.S. GPO:1991-0-290-49/20214

BACKGROUND SURVEY QUESTIONNAIRE

The Navy Exchange System is an Equal Opportunity Employer. In order to achieve equal opportunity goals, it is necessary to collect data relative to the ethnic, racial, and sexual and handicap background of our work force. Although providing this information by completing these forms is optional on your part, your cooperation is asked so that we may achieve our goal of equality. This information is kept confidential and is not provided to selecting officials.

This information is provided pursuant to Public Law 93-579 (Privacy Act of 1974), December 31, 1974, for individuals completing federal records and forms that solicit personal information. (Data required for U.S. citizens only.)

Name (Last, First, MI)

Position for which you are applying

 

Date (Month, Day, Year)

 

 

 

 

Location of Position

 

Announcement No.

 

 

 

 

Social Security Number

Year of Birth

Gender (Male/Female)

Please categorize yourself in terms of the race and ethnic categories below. First read definitions of subcategories and fill in the appropriate letter.

DEFINITIONS

The racial and ethnic categories for federal statistics and administrative reporting are defined as follows.

Race

 

Code

American Indian or Alaskan

A person having origins in any of the original peoples of

A

Native

North America, and who maintains cultural identification

 

 

through community recognition of tribal affiliation.

 

Asian or Pacific Islander

A person having origins in any of the original peoples of the

B

 

Far East, Southeast Asia, the Indian subcontinent or the

 

 

Pacific Islands. This are includes, for example, China, India,

 

 

Japan, Korea, the Philippine Islands, and Samoa.

 

Black, not of Hispanic origin

A person having origins in any of the black racial groups of

C

 

Africa except persons of Mexican, Puerto Rican, Cuban,

 

 

Central or South American, or other Spanish cultures or

 

 

origins. (see Hispanic)

 

Hispanic

A person of Mexican, Puerto Rican, Cuban, Central or South

D

 

American, or other Spanish cultures or origins. Does not

 

 

include persons of Portugese culture or origin.

 

White, not of Hispanic origin

A person having origins in any of the original peoples of

E

 

Europe, North Africa, or Middle East, except persons of

 

 

Mexican, Puerto Rican, Cuban, Central or South American, or

 

 

other Spanish cultures or origins. (see Hispanic) Also

 

 

includes persons not included in other categories.

 

BACKGROUND SURVEY QUESTIONNAIRE

FOR USE IN HAWAII and GUAM ONLY

The Navy Exchange System is an Equal Opportunity Employer. In order to achieve equal opportunity goals, it is necessary to collect data relative to the ethnic, racial, and sexual and handicap background of our work force. Although providing this information by completing these forms is optional on your part, your cooperation is asked so that we may achieve our goal of equality. This information is kept confidential and is not provided to selecting officials.

This information is provided pursuant to Public Law 93-579 (Privacy Act of 1974), December 31, 1974, for individuals completing federal records and forms that solicit personal information. (Data required for U.S. citizens only.)

Name (Last, First, MI)

Position for which you are applying

 

Date (Month, Day, Year)

 

 

 

Location of Position

 

Announcement No.

 

 

 

Social Security Number

Year of Birth

Gender (Male/Female)

Specific Instructions: The categories below are designed to identify your basic racial and national origin category. If you are of mixed racial and/or national origin, identify yourself by the category with which you most closely identify yourself. Read the definitions below and fill in the appropriate letter.

DEFINITIONS

The racial and ethnic categories for federal statistics and administrative reporting are defined as follows.

Race

 

Code

American Indian or

A person having origins in any of the original peoples of North America, and who

A

Alaskan Native

maintains cultural identification through community recognition of tribal affiliation.

 

Black, not of Hispanic

A person having origins in any of the black racial groups of Africa except persons

C

origin

of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish

 

 

cultures or origins. (see Hispanic)

 

Hispanic

A person of Mexican, Puerto Rican, Cuban, Central or South American, or other

D

 

Spanish cultures or origins. Does not include persons of Portugese culture or origin.

 

White, not of Hispanic

A person having origins in any of the original peoples of Europe, North Africa, or

E

origin

Middle East, except persons of Mexican, Puerto Rican, Cuban, Central or South

 

 

American, or other Spanish cultures or origins. (see Hispanic) Also includes

 

 

persons not included in other categories.

 

Asian Indian

A person having origins in any or the original peoples of the Indian subcontinent

F

 

(i.e., India, Pakistan, Bangladesh, Sri Lanka, Nepal, Sikkim, and Bhutan).

 

Chinese

A Person having origins in any of the original peoples of China.

G

Filipino

A person having origins in any of the original peoples of the Philippines.

H

Guamanian

A Person having origins in any of the original peoples of Guam. (e.g., Chamorro).

J

Hawaiian

A person having origins in any of the original peoples of Hawaii, includes persons

K

 

who are Part Hawaiian and identify most closely with the Hawaiian category.

 

Japanese

A person having origins in any of the original peoples of Japan.

L

Korean

A person having origins in any of the original peoples of Korea.

M

Samoan

A person having origins in any of the original peoples of Samoa.

N

Vietnamese

A person having origins in any of the original peoples of Vietnam.

P

All Other Asian or

A person having origins in any of the original peoples of Asia or the Pacific Islands

Q

Pacific Islanders

not included in codes F through P above.

 

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