Optional Information
What gender identity do you most closely identify with?
-- Choose --
Agender
Genderfluid
Gender non-conforming
Genderqueer
Man
Non-binary
Woman
Not Listed
I choose to not disclose
Please select the race and/or ethnic identities you identify with
-- Choose --
American Indian or Alaskan Native
Asian
Black or African American
Hispanic or Latino
Middle Eastern or North African
Native Hawaiian or Other Pacific Islander
White
I choose to not disclose
Are you a veteran/have you served in the military?
-- Choose --
Disabled Veteran
Armed Forces Service Medal Veteram
Veteran who served on active duty during a war or in a campaign or expedition for which a campaign badge has been authorized
Recently Separated Veteran
Veteran, but not one of the four protected classes above
I choose to not disclose
Not a Veteran
Do you live with a disability (as outlined by the ADA)?
-- Choose --
Yes, I Have a Disability, Or Have A History/Record Of Having A Disability
No, I Don't Have a Disability, Or History/Record Of Having A Disability
I choose to not disclose