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Voluntary Self Identification (Committee Apps)

  1. Voluntary Self Identification

  2. The following information is voluntary and allows us to track the composition of our commissions. We value committees, commissions, and boards that demographically reflect the community. To ensure we reflect the community, we count on you to provide us your demographic information. The information will be kept confidential and when reported data will not identify any specific individual. Refusal to provide information will not subject you to any adverse treatment.

  3. Please make selections for EACH question

  4. Ethnicity

  5. Race (select one or more)

  6. Do you have a disability?

    Physical or mental impairment that limits a major life function, or record of such impairment.

  7. Leave This Blank:

  8. This field is not part of the form submission.