Demographic Survey for Outreach

Thank you for your interest in Outreach! At Outreach, we live by our core value that we find strength in diversity and inclusion. We invite you to complete this optional survey to help us evaluate our diversity and inclusion efforts, and to help us ensure that our employee population closely mirrors the communities where we operate. Submission of the information on this form is strictly voluntary and none of the information obtained will be used in the hiring process. This information will be kept secure and confidential from anyone involved in making a hiring decision. It will be used solely to evaluate our diversity and inclusion efforts. Outreach ensures equal employment opportunity without discrimination or harassment based on race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, veteran status, or any other characteristic protected by law.

• What is your ethnicity?
  • Hispanic or Latino
  • Not Hispanic or Latino
  • Decline to self-identify
• What is your race?
  • White
  • Black
  • Asian
  • Native Hawaiian or other Pacific Islander
  • American Indian or Alaskan Native
  • Two or more races
  • Decline to self-identify
• What gender do you identify as?
  • Female
  • Male
  • Non-binary / third gender
  • Decline to self-identify
• Do you identify as Transgender / Gender Non-Conforming?

  *Transgender is an umbrella term that refers to people whose gender identity, expression or behavior is different from those typically associated with their assigned sex at birth. Other identities considered to fall under this umbrella can include non-binary, gender fluid, and genderqueer – as well as many more.

  • Yes
  • No
  • Decline to self-identify
• Do you consider yourself a member of the Lesbian, Gay, Bisexual, Transgender and/or Queer, Intersex, Ace-Spectrum (LGBTQIA+) community?
  • Yes
  • No
  • Decline to self-identify
• Are you a veteran?
  • I am a veteran
  • I am not a veteran
  • Decline to self-identify
• Do you have a disability?

  *You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.

  • I have a disability
  • I do not have a disability
  • Decline to self-identify