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Optional Demographic Survey

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 separate from your name or job application. This information will be kept secure and confidential and will be used solely to evaluate our diversity and inclusion efforts.

• What is your age range?

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  • 17 or younger
  • 18-20
  • 21-29
  • 30-39
  • 40-49
  • 50-59
  • 60 or older
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• I identify my ethnicity as

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

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  • Female
  • Intersex
  • Male
  • Non-binary
  • Transgender
  • I prefer to self-describe
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• Sexual Orientation

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  • Bisexual
  • Gay
  • Heterosexual
  • Lesbian
  • Pansexual
  • Questioning
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• Disability Status

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  • I identify with a disability or impairment
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• Veteran Status

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  • I am not a protected veteran
  • I am one or more of the classifications of protected veterans
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