Person 1
(Person 1 is the person living or staying here in whose name this house or apartment is owned, being bought, or rented. If there is no such person, start with the name of any adult living or staying here.)
6. What is person 1's race?
Mark (X) one or more boxes and print origins.
[] White - Print, for example, German, Irish, English, Italian, Lebanese, Egyptian, etc. - ____
[] Black or African Am. - Print, for example, African American, Jamaican, Haitian, Nigerian, Ethiopian, Somali, etc. - ____
[] American Indian or Alaska Native - Print name of enrolled or principal tribe(s), for example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc. - ____
[] Chinese
[] Filipino
[] Asian Indian
[] Vietnamese
[] Korean
[] Japanese
[] Other Asian - Print, for example, Pakistani, Cambodian, Hmong, etc. - ____
[] Native Hawaiian
[] Samoan
[] Chamorro
[] Other Pacific Islander - Print, for example, Tongan, Fijian, Marshallese, etc. - ____
[] Some other race - Print race or origin. - ____
6. What is person X's race?
Mark (X) one or more boxes and print origins.
[] White - Print, for example, German, Irish, English, Italian, Lebanese, Egyptian, etc. - ____
[] Black or African Am. - Print, for example, African American, Jamaican, Haitian, Nigerian, Ethiopian, Somali, etc. - ____
[] American Indian or Alaska Native - Print name of enrolled or principal tribe(s), for example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc. - ____
[] Chinese
[] Filipino
[] Asian Indian
[] Vietnamese
[] Korean
[] Japanese
[] Other Asian - Print, for example, Pakistani, Cambodian, Hmong, etc. - ____
[] Native Hawaiian
[] Samoan
[] Chamorro
[] Other Pacific Islander - Print, for example, Tongan, Fijian, Marshallese, etc. - ____
[] Some other race - Print race or origin. - ____
Person questions 1-6
Answer questions 1-6 for the first five people living or staying at this address.
- Include everyone who is living or staying here for more than 2 months.
- Include yourself if you are living here for more than 2 months.
- Include anyone else staying here who does not have another place to stay, even if they are here for 2 months or less.
- Do not include anyone who is living somewhere else for more than 2 months, such as a college student living away or someone in the Armed Forces on deployment.
P6. Mark all boxes for the appropriate races.
The concept of race, as used by the Census Bureau, reflects self-identification by individuals according to the race or races with which they identify.