EEO Voluntary Survey for AHEAD

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.

• 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 do not wish to self-identify
• What gender do you identify as?
  • Female
  • Male
  • Non-binary
  • I do not wish to self-identify
• Veteran Status
  • I am a protected veteran
  • I am not a protected veteran
  • I do not wish to self-identify
• Self-Identification of Disability
  • Yes, I Have A Disability, Or Have A History/Record Of Having A Disability
  • No, I Don’t Have A Disability, Or A History/Record Of Having A Disability
  • I do not wish to self-identify