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Demographic Survey for Kepler Communications

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 and 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?
  • 17 or younger
  • 18-20
  • 21-29
  • 30-39
  • 40-49
  • 50-59
  • 60 or older
  • Prefer not to answer
• With which ethnicity do you identify?
  • White or Caucasian
  • Hispanic, Latino, or Spanish origin
  • Black, African or Carribean
  • East Asian
  • South Asian
  • Indigenous Peoples, First Nations, Native American, or Alaska Native
  • Middle Eastern or North African
  • Mixed or multiple ethnic groups
  • Other
  • Prefer not to answer
• With which gender do you identify?
  • Female
  • Male
  • Non-binary
  • Transgender
  • Gender non-confirming
  • Other
  • Prefer not to answer
• With which sexual orientation do you identify?
  • Heterosexual
  • Gay
  • Lesbian
  • Bisexual
  • Two-spirit
  • Pansexual
  • Asexual
  • Other
  • Prefer not to answer
• Do you identify as a person with a visible or non-visible disability?
  • Yes
  • No
  • Prefer not to answer
• Are you a veteran/have you served in the military?
  • Yes
  • No
  • Prefer not to answer