Job Application Form

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I identify my ethencity as:

 White/Caucasian
Hispanic, Latino, or Spanish origin
 Black or African American
East Asian
 South Asian
Native Hawaliian or other pacific Islander
 Indigenous Peoples, First Native American, or Alaska Native
 Middle Eastern or North African
Anothe race, ethenicity, or origin
 I prefer not to disclose

What gender do you most closely identify as?

Male
Female
 Non-binary
 I prefer not to disclose

Do you identify as part of the LGBTQIA + community?

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 No
 I prefer not to disclose