PanCAN Volunteer Demographics Survey

PanCAN believes it is important that our volunteers represent the diversity of our communities. We encourage you to share some demographic information about yourself to help us accomplish this goal.

1. Please enter the following information:

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Name:

 

 
   

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*2.
Question - Required - What gender do you identify as? (Please select one)

*3.
Question - Required - Which racial or ethnic group(s) do you identify with? (Please select all that apply)

*4.
Question - Required - What are your preferred pronouns? (Please select one)

   Please leave this field empty