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Standard Demographic Data Collection Tool (for Internal Use Only)
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Untitled Title
By completing the demographic data collection form, you are providing informed consent so that we may report on your demographic data when appropriate. I have read and agreed to the above policy.
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Please select your role within the organization:
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Executive Director Questions
Executive: What is your gender identity?
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Executive: What is your race/ethnicity? Please select all that apply:
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Are you the first Black, Indigenous, or person of color to lead this organization?
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Are there any other identities that you hold (ex: religion, disability, veteran status, etc.)?
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What's your age?
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How many years have you been in this position?
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Board Member: Race/Ethnicity
What is your gender identity?
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Board: What is your race/ethnicity? Please check all that apply:
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Staff Member: Race/Ethnicity Question
Staff: What is your gender identity?
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Staff: What is your race/ethnicity? Please select all that apply: