CBCA Board of Directors Demographic Survey

The purpose for collecting this demographic information is to ensure CBCA is authentically working towards a more equitable and inclusive culture at all levels of the organization. Only aggregate data will be shared and reported to a broader internal audience and/or publicly.

CBCA Board of Directors Demographic Survey

Name

CBCA is better able to meet its mission when it includes representation from the people it serves. The following information will be used for reporting and funding as well as for recruiting purposes and will only be reported externally in aggregate. While we hope that you will provide us with the following information, your response to any and all of these questions is optional.
Gender
Please check all that apply
Pronouns
Please check all that apply
Do you identify as a member of the LGBTQ+ community?
Race
Please check all that apply
Ethnicity
Please check all that apply
Age
Please check all that apply
Month/Date only
Do you identify as a person who has a disability?
Geographic: Primary Residence
Please add specifics of where in the region (e.g., Ft. Collins, Grand Junction):
Geographic: Work Location
Please add specifics of where in the region (e.g., Ft. Collins, Grand Junction):
This field is for validation purposes and should be left unchanged.