Demographic Survey for ServiceRocket

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?
  • 17 or younger
  • 18-20
  • 21-29
  • 30-39
  • 40-49
  • 50-59
  • 60 or older
• What gender do you identify as?
  • Female
  • Male
  • Non-binary
• I identify my ethnicity as

  Select all that apply

  • African - Eastern African
  • African - Southern African
  • African - West African
  • Americas - American Indian or Alaska Native
  • Americas - Black or African American
  • Americas - Caribbean Islander
  • Americas - Central American
  • Americas - Native Hawaiian or Other Pacific Islander
  • Americas - North American - Hispanic or Latino
  • Americas - North American - White
  • Americas - South American
  • Asia - Central Asia
  • Asia - Southern Asia
  • European - British Peoples
  • European - Eastern European
  • European - Irish Peoples
  • European - Northern European
  • European - South Eastern European
  • European - Southern European
  • European - Western European
  • North African and Middle East - Arab
  • North African and Middle East - Jewish
  • North African and Middle East - Other North African and Middle Eastern
  • North African and Middle East - Peoples of the Sudan
  • North-East Asia - Chinese
  • North-East Asia - Other North-East Asian
  • Oceania - Australian Peoples
  • Oceania - Melanesian and Papuan
  • Oceania - Micronesian
  • Oceania - New Zealand Peoples
  • Oceania - Polynesian
  • South-East Asia - Mainland
  • South-East Asia - Maritime
• My current resident status (for US-based candidates) is
  • US - Alien authorized to work
  • US - Citizen or national of the U.S.
  • US - Lawful permanent resident
  • Not a US-Based Candidate