GQ Standard Record Layout (MCR) 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: MILITARY GQ FACILITY

GQ Facility Name (Military Installation or Base)

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: MILITARY GQ NAME(S)

GQ Name (Military Barrack or Dormitory)

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 the 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: MILITARY GQ CLIENT / RESIDENT DATA

GQ Name (Military Barrack or Dormitory)

The actual building that hosts 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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Hispanic

Person's Hispanic/Latino origin (Yes or No)

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Sheet 2: 1-GQ Facility

GQ Facility Name (Military Installation or Base)	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
U.S. Army, Fort Belvoir	Bldg 2118, 125 Abbot Road	Fort Belvoir	VA	22060	Fairfax	LTC Henry Funk	Fort Director	703-585-6565	henry.funk@us.army.gov

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Sheet 3: 2-GQ Name(s)

GQ Name (Military Barrack or Dormitory)	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
Belvoir Village	601-Military Quarters	5994 12th Street	Fort Belvoir	VA	22060	Alexandria	700	700	38.985652, -6.343709
Cedar Grove Village	601-Military Quarters	12653 Terrapin Road	Fort Belvoir	VA	22060	Alexandria	700	700	38.985652, -6.343709
Colyer Village	601-Military Quarters	695 5th Ave	Fort Belvoir	VA	22060	Alexandria	600	500	38.985542, -6.937094
Dogue Creek Village	601-Military Quarters	655 Terrapin Road	Fort Belvoir	VA	22060	Alexandria	200	150	38.985652, -6.343709
Fairfax Village	601-Military Quarters	234 Ohio Drive	Fort Belvoir	VA	22060	Alexandria	700	700	38.546552, -6.937095

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Sheet 4: 3-GQ Client Data

GQ Name (Military Barrack or Dormitory)	First Name	Middle Name	Last Name	Sex	Age on Census Day	Date of Birth	Race	Race Detail	Hispanic
Cedar Grove Village	Stacy	Ober	Tyson	F	40	1/1/1975	AIAN		No
Cedar Grove Village	Stacy	Hornbeck	Tyson	F	40	1/1/1975	AIAN		No
Cedar Grove Village	Morgan	Mealer	Jones	F	40	1/1/1975	AIAN		No
Dogue Creek Village	Morgan	B	Jones	F	40	1/1/1975	AIAN		No
Fairfax Village	Kaycee		Steve	M	19	1/1/1976	AIAN		No
Dogue Creek Village	Akilah	A	Tony	F	40	1/1/1975	Asian		No
Dogue Creek Village	Akilah	C	Tony	F	40	1/1/1975	Asian		No
Dogue Creek Village	Cheryle	Grippo	Conrad	F	40	1/1/1975	Asian		No
Dogue Creek Village	Danielle	A	Micheal	M	19	1/1/1976	Asian		No
Fairfax Village	Cheryle		Conrad	F	40	1/1/1976	Asian		No
Cedar Grove Village	Marquerite	Huether	Boggs	M	19	6/4/1997	Asian, NHPI		No
Cedar Grove Village	Marquerite	B	Boggs	M	19	6/4/1997	Asian, NHPI		No
Belvoir Village	Omar	Bolton	Barry	M	19	2/5/1997	Black		No
Cedar Grove Village	Omar	Valasquez	Barry	M	19	2/5/1997	Black		No
Fairfax Village	Pasty		Ollie	M	19	2/5/1997	Hispanic		Yes
Fairfax Village	Belva		Fausto	M	19	6/4/1997	Hispanic		Yes
Fairfax Village	Shaquana	Hornbeck	Clair	F	19	6/1/1997	Hispanic		Yes
Fairfax Village	Tammi	Quinn	Mathew	F	40	1/1/1975	Hispanic
Belvoir Village	Ivette	Wansley	Taylor	M	19	2/5/1997	MENA		No
Belvoir Village	Ivette	Booher	Taylor	M	19	2/5/1997	MENA		No
Cedar Grove Village	Macie	Sullens	Stuart	M	19	6/4/1997	MENA		No
Cedar Grove Village	Macie	Parcell	Stuart	M	19	6/4/1997	MENA		No
Dogue Creek Village	Jenni		Marcus	M	19	1/1/1976	MENA		No
Fairfax Village	Shaquana	Ober	Clair	F	19	1/1/1976	MENA		No
Fairfax Village	Jenni	Valasquez	Marcus	M	19	1/1/1975	MENA		No
Cedar Grove Village	Lurline	Tatem	Jerry	F	19	6/1/1997	NHPI		No
Cedar Grove Village	Lurline	Luciano	Jerry	F	19	6/1/1997	NHPI		No
Cedar Grove Village	Sharmaine	Dorrell	Rose	F	19	6/1/1997	NHPI		No
Dogue Creek Village	Sharmaine	Grippo	Rose	F	19	6/1/1997	NHPI		No
Fairfax Village	Pasty		Ollie	M	19	2/5/1997	NHPI		No
Fairfax Village	Abraham		Riley	M	19	1/1/1975	NHPI		No
Fairfax Village	Abraham		Riley	M	19	1/1/1976	NHPI		No
Cedar Grove Village	Robby	Hausner	Eddy	M	39	1/1/1976	Other		Yes
Dogue Creek Village	Robby	C	Eddy	M	39	1/1/1976	Other		Yes
Fairfax Village	Randell	Mealer	Demarcus	F	19	1/1/1975	Other		No
Belvoir Village	Mary	Quinn	Jones	F	40	1/1/1975	White		Yes
Belvoir Village	Hildred	Quintero	Barry	M	19	2/5/1997	White		Yes
Belvoir Village	Sari	Stroud	Boggs	M	19	6/4/1997	White		Yes
Cedar Grove Village	Mary	Maddalena	Jones	F	40	1/1/1975	White		No
Dogue Creek Village	Tynisha	D	Kay	M	39	1/1/1976	White		No
Dogue Creek Village	Danielle		Micheal	M	19	1/1/1976	White		No
Fairfax Village	Tynisha		Kay	M	39	1/1/1975	White		Yes
Fairfax Village	Tammi	Hausner	Mathew	F	40	1/1/1975	White		Yes
Belvoir Village	Marine	A	Laurence	M	19	1/1/1976	White, Black		Yes
Belvoir Village	Marine	Hendrix	Laurence	M	19	1/1/1976	White, Black		Yes
Belvoir Village	John	Leister	Kay	M	19	1/1/1976	White, Black		Yes
Cedar Grove Village	John	Grippo	Kay	M	19	1/1/1976	White, Black		No
Fairfax Village	Belva		Fausto	M	19	1/1/1975	White, Black		Yes