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COMMUNITY EDUCATION
FALL 2017/NONCREDIT REGISTRATION FORM
LAST NAMEFIRST×BACKSTREET ADDRESSTELEPHONE NUMBERMIDDLE NAMECITYSSN OR STUDENT I.D. NUMBERSTATEBUSINESS NUMBER ZIP CODED ATE OF BIRTHMARK
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What is blackafrican-american?
Black/African-American refers to individuals of African descent, typically used in demographic or ethnic surveys.
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Black/African-American individuals may be required to self-identify or provide this information on certain forms or surveys.
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To fill out the black/African American category, individuals can select this option on forms or surveys where demographics are requested.
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