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GenderSex

Select "Male", "Female", or "Do Not Wish to Provide" to designate your Gender.

Ethnicity

Select "Hispanic or Latino", "Not Hispanic or Latino", or "Do Not Wish to Provide" to designate your Ethnicity.

Race

Select all that apply to designate your Race:

• American Indian or Alaska Native
• Asian
• Black or African American
• Native Hawaiian or Other Pacific Islander
• White
• Do Not Wish to Provide

NOTE: You cannot select "Do Not Wish to Provide" with any other selection within the Race selection box.

Citizenship

Select "U.S. Citizen", "Permanent Resident", "Other Non-US Citizen", or "Do Not Wish to Provide" to designate your Citizenship.

Disability

Select all that apply to designate any Disability:

• Hearing Impairment
• Visual Impairment
• Mobility/Orthopedic Impairment
• Other (NOTE: You must enter a disability if Other is selected)
• None
• Do Not Wish to Provide

NOTE: You cannot select "None" or "Do Not Wish to Provide" with any other selection within the Disability selection box.