EEO, Diversity & Inclusion Survey for LoadSmart

We invite you to complete this optional survey to help us evaluate our EEO, 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?
  • 17 or younger
  • 18-20
  • 21-29
  • 30-39
  • 40-49
  • 50-59
  • 60 or older
  • I choose not to answer
• 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
  • I choose not to answer
• What gender do you identify as?
  • Female
  • Male
  • Non-binary
  • I choose not to answer
• Are you a veteran or current military service member?
  • Yes, I am a veteran
  • Yes, I am currently serving in the military
  • No, I am not a veteran or military service member
  • I choose not to answer
• Are you a member of any underrepresented groups?

  (e.g., LGBTQ+, Religious minorities)

  • Yes
  • No
  • I choose not to answer
• Do you have a dissability?

  The ADA defines a person with a disability as someone with a physical or mental impairment that substantially limits a major life activity, has a record of such an impairment, or is regarded as having such an impairment.

  • Yes
  • No
  • I choose not to answer