All Staff Questionnaire
Are you bilingual?
Yes
No
Please list any additional languages
Would you like to share your personal cell phone number?
With all staff/partners
Supervisor only
Please do not share
Cell Phone or Google Number
-
Area Code
Phone Number
Would you like to share your birthday (month and day only)
Supervisor only
Please do not share
Please enter you birthdate (month and day only)
MM/YY
Demographics
We've found that more and more grants are requesting demographicinformation. If you're willing to provide this information, it will beutilized in a general context for the purpose of grant submissions regardingthe diversity of our staff as a whole.
Please check all that apply regarding race/ethnicity
Asian
Black or African American
Hispanic or LatinX
Native American
Native Hawaiian/Pacific Islander
White, Non-Hispanic
Two or more races
Do not wish to participate
Other
Submit
Should be Empty: