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• Full name✱
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• Phone ✱
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• Current company

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Why Lillio?

• What excites you about the prospect of working for Lillio?✱

CAN/US Eligibility

• Are you legally eligible to work in Canada OR the United States of America?✱
  • Yes
  • Yes, with restrictions (details to be provided later)
  • No

Accommodations Question

• If you require accommodations at any step of the application or interview process, please indicate so here.

Your Pronouns

• At Lillio we believe in the importance of fostering an inclusive environment, supportive of all gender expressions. To ensure we refer to you by your correct pronouns, select all that apply.
  • She/Her
  • He/Him
  • They/Them
  • Ey/Em
  • Ze/Hir
  • Ze/Zir
  • Zei/Hir
  • Zei/Zir
  • Xe/Xem

Ability to work EST

• Are you able to work core EST hours? (i.e. 9:00am EST start)✱
  • Yes
  • No

Demographic Survey for Lillio (formerly HiMama)!

We invite you to complete this optional survey to help us evaluate Lillio's diversity and inclusion efforts. Submission of the information on this form is strictly voluntary and refusal to provide it will not subject you to any adverse treatment or affect your job application. Information obtained will be anonymized and kept separate from your name or job application and reviewed by the People Operations team. This information will be kept secure and confidential and will be used solely to evaluate Lillio's diversity and inclusion efforts. If you have any questions, comments or concerns about the contents of the survey you can email Lillio's People Operations team at hiring@himama.com.

• What is your age range?
  • Under 19
  • 20-24
  • 25-29
  • 30-34
  • 35-39
  • 40-44
  • 45-49
  • 50-54
  • 55-59
  • 60-64
  • 65 and over
  • Prefer not to say
• What is your ethnicity/race?

  Select all that apply

  • Arab
  • Black (eg. African-Canadian, African-American, people of African descent, Caribbean, etc.)
  • East Asian (eg. China, Japan, Korea)
  • Indigenous Peoples: First Nations
  • Indigenous Peoples: Inuit
  • Indigenous Peoples: Métis
  • Indigenous: Other countries
  • Latinx
  • Māori
  • Middle Eastern
  • North African (eg. Morocco, Tunisia, Algeria)
  • Pasifika / Pacific Islander
  • Roma
  • South Asian (eg. India, Pakistan, Sri Lanka)
  • Southeast Asian (eg. Vietnam, Cambodia, Laos, Thailand, Philippines)
  • West Asian (eg. Afghanistan, Iran)
  • White /Caucasian
  • Two or more races
  • Not listed
  • Prefer not to say
• What is your gender identity?

  Select all that apply

  • Woman
  • Man
  • Genderqueer
  • Non- Binary
  • Two- Spirited
  • Agender
  • Not Listed
  • Prefer not to say
• Do you identify as transgender or another non-cis gender identity?
  • Yes
  • No
  • Prefer not to say
• What is your sexual orientation?

  Select all the apply

  • Asexual
  • Bisexual
  • Gay
  • Heterosexual (straight)
  • Lesbian
  • Pansexual
  • Queer
  • Not listed
  • Prefer not to say
• Do you identify with having a disability?

  Select all that apply

  • Mental health disability(ies) or condition(s)
  • Physical disability(ies) or condition(s)
  • Learning disability(ies)
  • No - I do not have a disability
  • Prefer not to say
  • Not listed