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• Full name✱
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• Arbital Health, Inc.

Startup Stage Q

• What is the name of the earliest stage company you have worked for, and what stage was it at?✱
• How can you make an impact at Arbital at the stage we are at?✱

Demographic Survey for Arbital Health, Inc.

We invite you to complete this optional survey to help us evaluate our 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 kept completely separate from your name or job application. This information will be kept secure and confidential and the company will only receive bulk reporting on the diversity of our overall applicant pool across all locations, teams and roles.

• I identify my ethnicity as:

  Select all that apply

  • White / Caucasian
  • Hispanic, Latino, or Spanish origin
  • Black or African American
  • Asian
  • Native Hawaiian or other Pacific Islander
  • Indigenous Peoples, First Nations, Native American, or Alaska Native
  • Middle Eastern or North African
  • Some other race, ethnicity, or origin
• What gender do you identify as?
  • Female
  • Male
  • Non-binary
  • Other