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FORM F - TITLE VI COMPLIANCE QUESTIONNAIRE
Title Vl is a statute provision of the Civil Rights Act of 1964:"No person in the United States shall, on the grounds of race, color, or national origin, be excluded fromparticipation in, be denied the benefits of, or be subjected to discrimination under any program or activityreceiving Federalfinancial assistance.' (42 USC Sec 2000d)
The following information will be used by the Nevada DEPARTMENT of Transportation (DEPARTMENT) andthe Federal Highway Administration (FHWA) for statistical purposes only. This information will be storedconfidentially, and will not affect any decisions made by the DEPARTMENT.
Your participation is voluntarv, but would be greatly appreciated. lf you choose to participate, please do notinclude this form with your technical Proposal. Please upload this questionnaire to the Confidential folderprovided in EPATS.Choose one ethnic group with which the principal owner(s) most identify:
E elack (Not of Hispanic origin: All persons having origins in any of the Black racial groups.)E Asian/Pacific lslander (All persons having origins in any of the original peoples of the Far East,Southeast Asia, the lndian Subcontinent, or the Pacific lslands. This area includes, for example,China, Japan, Korea, the Philippine lslands, and Samoa.)I ttispanic (All persons of Mexican, Puerto Rican, Cuban, Central or South American, or otherSpanish culture or origin, regardless of race.)E Native American (All persons having origins in any of the original peoples of North America andwho maintain cultural identification through a tribal affiliation or community recognition.)E Wtrite (Not of Hispanic origin: All persons having origins in any of the original peoples of Europe,North Africa, or Middle East.)E Ottrer (All persons not matching one of the other choices.)
Sex: Etrltate EFemale
fl I understand my participation is voluntary and decline to provide the requested information
Firm Name
Owner Name (Print)
Owner Name (Sign
Date
37
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