Demographic Survey for Planet Innovation

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?
  • 18-29
  • 30-39
  • 40-49
  • 50-59
  • 60 or older
• 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
• Do you identify as a person with a disability or are you a person with accessibility needs?

  We will provide reasonable adjustments through the recruitment and selection process to ensure equal participation for people with disability or accessibility needs as required.

  • Yes
  • No