John Bowes AA MA 1 11
•
DIVERSITY STATISTICS REPORTING
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Board / Committee:
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Appointment Date: /
Pursuant to City of Miami Beach Ordinance 2009-3632,the City is required to annually
prepare and present a report to the City Commission identifying the City's diversity
statistics. This form allows board and committee applicants and members to voluntarily
self-identify their race, ethnicity, disabled status and gender.
Please check the appropriate box for each category:
Gender: Male L_ Female 1,-J]
Race/Ethnic Categories
What is your race?
U African-American/Black
Caucasian/White
1:3 Asian or Pacific Islander
Native-American/American Indian
LJ Other— Print Race:
Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No"box if not
Spanish, Hispanic, Latino/a.
Yes L . , 7
1
-Do you consider yourself Physically Disabled?
Yes
C:\Users\CENTFraN\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\NP4J9CNX\BC minority
information form 05-20-13 FINAL.doc. •
Updated: Monday,January 26,2015 • •