Get Dept Of Homeland Securtiy Omb No 1660 0100 Fema Form 75 5a
NFA OFF CAMPUS COURSES (EXCLUDING REGIONAL DELIVERIES) SECTION I - GENERAL INFORMATION 1. DATE OF BIRTH (Mo, Day, Yr.) 2. GENDER FEMALE 4a. ETHNICITY HISPANIC or LATINO 1. 2. MALE YES NOT HISPANIC or LATINO 4. WHITE ASIAN 5. 4b. RACE (Please check all that apply) AMERICAN INDIAN or ALASKA NATIVE 1. NO 2. 3. U.S. CITIZEN NATIVE HAWAIIAN or PACIFIC ISLANDER If No, City and Country of Birth: 3. BLACK or AFRICAN AMERICAN 5. PLEASE PRINT YOUR NAME (Last, First, Middle, Suffix) 6. S.
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