Print Form OHIO NORTHERN UNIVERSITY OFFICE OF THE REGISTRAR Lehr Building, Room 101 Ethnic / Race / Religious Preference Student Name: ONU ID#: The following information is requested from each student in order to show compliance with federal legislation requiring non-discrimination. Please complete BOTH steps below: 1. Are you of a Hispanic/Latino ethnic background? YES NO A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race. (Note: Does not include persons of Brazilian or Portuguese culture or origin.) AND 2. In addition, please select one or more of the following racial categories to describe yourself. American Indian or Alaskan Native A person having origins in any of the original peoples of North and South America, (including Central America), and who maintains a tribal affiliation or community attachment. Asian A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. Black or African American A person having origins in any of the black racial groups of Africa. Native Hawaiian or Pacific A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands. White A person having origins in any of the original peoples of Europe, North Africa, or the Middle East. Religious Preference: Student Signature: Date: Please complete this form and press print form button above to print it out. Then sign it and deliver it to the Registrar's Office. Rev. 2/15/2012