EMILYs List - Chief Communications Officer

Your pronouns:
How did you hear about this position?
Other: where did you hear about this position?
Have you ever worked at EMILY's List?✱
- Yes
- No
If so, when?
Are you a citizen of the United States?✱
- Yes
- No
If no, are you authorized to work in the U.S.?
- Yes
- No
Professional Reference 1, include: Full Name, Relationship, Company, Phone Number, and Email Address.✱
Professional Reference 2, include: Full Name, Relationship, Company, Phone Number, and Email Address.✱
Professional Reference 3, include: Full Name, Relationship, Company, Phone Number, and Email Address.✱
May we contact your previous supervisor for a reference?✱
- Yes
- No
If yes, provide their contact information
Do you certify that all statements made herein and on the included cover letter and resume are true and correct to the best of your knowledge. You authorize investigation of all statements herein recorded. You release from liability all person and organizations reporting information required by this application. If this application leads to employment, you understand that false or misleading information in your resume, cover letter, application, or interview may result in your release.✱
- Yes

Completion of this form is completely voluntary and responses will not be shown on your application. The decision to answer some, none, or all questions will not be used to make employment decisions. If you choose to complete this form, you certify that all answers are true and correct.
- I understand
How do you identify your gender?
- Female
- Male
- Non-binary/third gender
- Prefer to self-describe (answer below)
- Prefer not to say
If you prefer to self-describe, please describe your gender.
How do you identify your sexual orientation?
- Bisexual
- Gay
- Lesbian
- Straight/Heterosexual
- Prefer to self-describe (answer below)
- Prefer not to say
If you prefer to self-describe, please describe your sexual orientation:
Which race/ethnicity category(ies) describes you? (mark all applicable)
- American Indian or Alaska Native
- Asian
- Black or African American
- Hispanic, Latino, or Spanish origin
- Native Hawaiian or Another Pacific Islander
- White
- Prefer not to say
Do you identify as disabled?
- Yes
- No
- Prefer not to say
Are you a veteran?
- Yes
- No
- Prefer not to say

Chief Communications Officer