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47 <br /> Implementation <br /> o Forms will be completed prior to NCDOT Title VI reviews and remain on file forth ree years. <br /> o All new and existing members of appointed decision-making boards or committees will be <br /> required to complete this form for reporting purposes. <br /> o If a member, for whatever reason, selects "I choose not to provide any of the information <br /> requested above,"this will be accepted as a completed form. <br /> o If a member chooses not to provide any of the information on the form, the Title VI Coordinator <br /> will be permitted to indicate that member's race and gender, based on the Coordinator's best <br /> guess. <br /> o Data from these forms will be used to complete the Demographic Request Table. <br /> o Once a new member submits this form, the Demographic Request Table for the associated <br /> committee will be updated. <br />