Self-ID Form - Society of Queer Momentum

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Momentum is committed to employment equity and encourages applications from individuals impacted by colonialism, racism, classism, sexism, able-ism, trans-phobia, homophobia, biphobia, and other forms of oppression.

This form is provided for individuals interested in self-identifying in relation to equity-deserving categories. You are under no obligation to complete this form; it is completely voluntary. The information you provide will be helpful to ensure we recognize your lived experience and will be protected safely.

What is your full name?

What is your email address?

What position are you applying for?

Sexual Orientation, Gender Identity, Expression and Characteristics (SOGIESC) - You are welcome to self-identify all that apply to you:

Man

Woman

Cisgender (gender matches the gender you were assigned at birth)

Transgender (gender is different from the gender you were assigned at birth)

Two Spirit and/or Indigiqueer

Non-Binary

Intersex

Bisexual/Pansexual

Lesbian

Gay

Asexual

Other:

Is there anything else you would like us to know about your sexual orientation, gender identity, gender expression or sex characteristics?

Racial Identity – You are welcome to self-identify with all that apply to and/or describe who you are and how you understand your identity:

African, Black, Afro-Caribbean

Indigenous (First Nations, Inuit, Metis)

Central Asian

East Asian

South-East Asian

West Asian

Pacific Islander

Latino/Latina of any racial background

White / European

Other:

Is there anything else you would like us to know about your race/racial identity?

Do you have a disability or do you identify as neurodiverse?

Yes

Other:

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Is there anything you would like us to know related to disability and/or neurodiversity?

Do you identify as a new Canadian, Immigrant or Refugee? Are you first-generation (you were born in Canada but the rest of your family were born outside of Canada)? Please check all that apply.

New Canadian / Newcomer to Canada

Refugee / Refugee Claimant

First Generation (you were born in Canada, but your family was born outside of Canada)

Other:

Is there anything else you would like us to know about you when it comes to equity-deserving identities?

Submit

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