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Optional demographic for the Fall 2012 Off-Campus Living Workshops.

Entering the demographic information below is completely optional but would assist our office in making sure we are addressing the needs of all our off-campus constituencies and will help us develop more targeted programs to meet the needs of different populations. The answers to these questions are anonymous and NOT tied to your workshop registration.

Gender (man, woman, trans, genderqueer, etc.):

Sexual Orientation (bisexual, lesbian, queer, etc.):

Race (check all that apply - multiple checks indicate bi/multiracial identity): White Black or African-American American Indian or Alaska Native Asian Native Hawaiian or Other Pacific Islander

Ethnicity (Vietnamese, Polish, etc.):

# in Household:

Household income (of family - approximately):