GQ Standard Record Layout (ICR) Template

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Overview

0-Requested Data
1-GQ Facility
2-GQ Name(s)
3-GQ Client Data

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Sheet 1: 0-Requested Data

TAB 1: GQ FACILITY

GQ Facility Name

The administrative office that has jurisdiction over the individual group quarter building

The Census Bureau classifies addresses that have an address number and street name address, for example, 137 Clark Ct., Apt. 316, Columbus, OH 43026 as city-style addresses. These addresses are used for mailing or to provide location for emergency services, such as police, fire, and rescue (E-911 addresses)

GQ Facility Street Address

The administrative office's physical location (Use city style address)

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GQ Facility City

The administrative office's physical location (Use city style address)

GQ Facility State

The administrative office's physical location (Use city style address)

GQ Facility ZIP

The administrative office's physical location (Use city style address)

GQ Facility County / Parish / Borough

The administrative office's physical location

GQ Facility Primary Contact Name

The administrative office's primary contact person name(s) who can answer questions for this test

GQ Facility Primary Contact Title

The administrative office's primary contact person title

GQ Facility Primary Contact Phone

The administrative office's primary contact person phone number

GQ Facility Primary Contact E-mail Address

The administrative office's primary contact person e-mail address

TAB 2: GQ NAME(S)

GQ Name

The actual building that hosts residents or clients

GQ Type Description

The group quarters description (Refer to Census provided description)

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GQ Street Address

The actual physical location hosts the residents or clients (Use city style address)

GQ City

The actual physical location hosts the residents or clients (Use city style address)

GQ State

The actual physical location hosts the residents or clients (Use city style address)

GQ ZIP

The actual physical location hosts the residents or clients (Use city style address)

GQ County / Parish / Borough

The actual physical location hosts residents or clients

GQ Maximum Population Capacity

The maximum number of persons can live or stay in this building

GQ Expected Population on Census Day

The expected number of persons that are expected to live or stay in this building on Census Day

GQ Latitude / Longitude

Coordinates representing the GQ address location

TAB 3: GQ CLIENT / RESIDENT DATA

GQ Name

The actual building that hosts the residents or clients

First Name

First name of person staying or living in this GQ

Middle Name

Middle name of person staying or living in this GQ

Last Name

Last name of person staying or living in this GQ

Sex

Gender description (Male or Female)

Age on Census Day

Person's age on Census Day

Date of Birth

Person's birth day

Race

Person's race category--Report one or more races (Refer to the Census provided description)

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Race Detail

Person's race category detail--A write in entry (Refer to the Census provided description)

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Sheet 2: 1-GQ Facility

GQ Facility Name	GQ Facility Street Address	GQ Facility City	GQ Facility State	GQ Facility ZIP	GQ Facility County / Parish / Borough	GQ Facility Primary Contact Name	GQ Facility Primary Contact Title	GQ Facility Primary Contact Phone	GQ Facility Primary Contact E-mail Address
University of Maryland	7950 Baltimore Avenue	College Park	MD	20742	Prince George's	Wallace E. Loh	Director of Student Lives	301-405-1000	wallace.e.loh@umd.ed

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Sheet 3: 2-GQ Name(s)

GQ Name	GQ Type Description	GQ Street Address	GQ City	GQ State	GQ ZIP	GQ County / Parish / Borough	GQ Maximum Population Capacity	GQ Expected Population on Census Day	GQ Latitude / Longitude
Freshmen Dorm (FD)	501-College Housing	123 Terrapin Road	University Park	MD	20742	Prince George's	700	690	38.985652, -6.343709
Alpha Beta House (AB)	501-College Housing	65 5th Ave Ste 123	University Park	MD	20742	Prince George's	15	15	38.985542, -6.937094
Women's Dorm (WD)	501-College Housing	234 Ohio Drive	University Park	MD	20746	Prince George's	20	15	38.546552, -6.937095
AMD House (AH)	501-College Housing	1253 Terrapin Road	University Park	MD	20742	Prince George's	700	690	38.965652, -7.937096
Senior House (SH)	501-College Housing	1111 Terrapin Road	University Park	MD	20742	Prince George's	500	500	38.965652, -6.637096

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Sheet 4: 3-GQ Client Data

GQ Name	First Name	Middle Name	Last Name	Sex	Age on Census Day	Date of Birth	Race	Race Detail
Freshmen Dorm (FD)	Mary	Quinn	Jones	F	40	1/1/1975	White	Portuguese
Freshmen Dorm (FD)	John	D	Kay	M	19	1/1/1976	White, Black	Cuban
Freshmen Dorm (FD)	Omar		Barry	M	19	2/5/1997	Black	Nigerian and Australian
Freshmen Dorm (FD)	Marquerite		Boggs	M	19	6/4/1997	Asian, NHPI	Chinese
Freshmen Dorm (FD)	Sharmaine	B	Rose	F	19	6/1/1997	NHPI	South African
Freshmen Dorm (FD)	Morgan	Quinn	Jones	F	40	1/1/1975	AIAN
Freshmen Dorm (FD)	Tynisha	D	Kay	M	39	1/1/1976	White	British and Russian
Alpha Beta House (AB)	Cheryle	Quinn	Conrad	F	40	1/1/1975	Asian	Nepali
Alpha Beta House (AB)	Jenni	D	Marcus	M	19	1/1/1976	MENA	Iranian
Alpha Beta House (AB)	Abraham		Riley	M	19	2/5/1997	NHPI	South African
Alpha Beta House (AB)	Kaycee		Steve	M	19	6/4/1997	AIAN
Alpha Beta House (AB)	Randell	B	Demarcus	F	19	6/1/1997	Other
Alpha Beta House (AB)	Janeen	Quinn	Merrill	F	40	1/1/1975	Asian	Nepali
Alpha Beta House (AB)	Melissa	D	Stacey	M	39	1/1/1976	MENA	Iranian
Women's Dorm (WD)	Tran	Quinn	Felipe	F	40	1/1/1975	White	British and Russian
Women's Dorm (WD)	Marine	D	Laurence	M	19	1/1/1976	White, Black	Cuban
Women's Dorm (WD)	Ivette		Taylor	M	19	2/5/1997	MENA	Nigerian and Australian
Women's Dorm (WD)	Macie		Stuart	M	19	6/4/1997	MENA	Iranian
Women's Dorm (WD)	Lurline	B	Jerry	F	19	6/1/1997	NHPI	South African
Women's Dorm (WD)	Stacy	Quinn	Tyson	F	40	1/1/1975	AIAN
Women's Dorm (WD)	Robby	D	Eddy	M	39	1/1/1976	Other
AMD House (AH)	Akilah	Quinn	Tony	F	40	1/1/1975	Asian	Nepali
AMD House (AH)	Danielle	D	Micheal	M	19	1/1/1976	Asian	Chinese
AMD House (AH)	Pasty		Ollie	M	19	2/5/1997	NHPI	South African
AMD House (AH)	Belva		Fausto	M	19	6/4/1997	White, Black
AMD House (AH)	Shaquana	B	Clair	F	19	6/1/1997	MENA	Saudi
AMD House (AH)	Tammi	Quinn	Mathew	F	40	1/1/1975	White	Portuguese
Senior House (SH)	Denis	D	Kay	M	39	1/1/1976	White	Portuguese
Senior House (SH)	Evelynn	Quinn	Jones	F	40	1/1/1975	White	Portuguese
Senior House (SH)	Christopher	D	Kay	M	19	1/1/1976	White	Portuguese
Senior House (SH)	Hildred		Barry	M	19	2/5/1997	White	Portuguese
Senior House (SH)	Sari		Boggs	M	19	6/4/1997	White	Portuguese