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Resource Lab Check-In

Name*
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DEMOGRAPHIC INFO (OPTIONAL)

The information requested below is optional. We collect this information to better understand who we serve, and to enable us to implement our Guiding Principles


Please use any combination of words to best describe your race/ethnicity, including but not limited to: Black/African/African American, Indigenous, American Indian, Native/Native Alaskan, Afro Latino/a/x, Caribbean, Chicano/a/x, Mexican, Central American, South American, Middle Eastern/North African, Southeast Asian/Asian, Pacific Islander/Native Hawaiian, White, European, Caucasian and/or other. We recognize that these descriptions and this language is ever evolving and will always be inadequate.
Gender
Please use any combination of words to best describe your gender identity. We recognize that these descriptions and this language is ever evolving and will always be inadequate.
Geographical Community
What best describes the geographical community in which you reside?
Please use any combination of words to best describe your sexual identity, including but not limited to: bisexual, gay, heterosexual, pansexual, same gender loving, asexual and others.
Please use any combination of words to best describe if you identify as part of the Disability Community, Deaf Community, a person living with a Mental Health condition, or a person who is immunocompromised. The Americans with Disabilities Act defines disabled as a physical or mental impairment that substantially limits one or more major life activities, a person who has a history or record of such an impairment, or a person who is perceived by others as having such an impairment.
Identity - Select all that apply
Please share how you identify: (can be related to your ethnicity, culture, other descriptors you would like to be known, etc...)
If the English language is a barrier for you, please communicate your proficiency with the English language, as well as your preferred/native language.
What is your age?
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