Scholarly Seminar Proposal Form

I identify my gender as

With which group or groups do you most identify?

Non-Hispanic White

Black or African American

Latina/o/x or Hispanic

American Indian or Alaskan Native

East Asian American

South Asian American

Native Hawaiian or other Pacific Islander

Middle Eastern or Arab American

I prefer not to answer this question

Other

Other:

Do you identify as a first-generation college graduate?

Yes

No

Prefer not to answer

Have you ever served on active duty in the US Armed Forces, Reserves, or National Guard?

Yes

No

Prefer not to answer

Do you have a disability, including but not limited to a sensory, mobility, developmental, psychological, or other impairment?

Yes

No

Prefer not to answer