1. RANC Survey - 2010

In an attempt to better demonstrate the representation of the elected leadership of the ACPE, Inc. the Representation and Nomination Committee (RANC) would like you to complete the following survey. You may choose what you wish to disclose,write in your preference in the "other" category, or choose not to disclose. The survey data is collected anonymously. Thank you for your time and feedback.

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* 1. Choose the one category that best describes your primary relationship to ACPE.

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* 2. Choose the one category that best describes your primary leadership role in ACPE at the National Level

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* 3. If on a national committee or commission choose the one that best describes your primary involvement in ACPE

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* 4. If on a regional committee choose the one category that best describes your primary involvement in ACPE

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* 5. Region

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* 6. Do you consider yourself to be a person of racial, ethnic or multicultural heritage?

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* 7. Gender

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* 8. Age

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* 9. Sexual Orientation

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* 10. Native Language

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* 11. Race/Ethnicity/Nationality

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* 12. Disability

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* 13. Please choose to answer only one of the next 8 questions that apply to your religious affiliation. (Questions 13-20)
Once you answer then skip to question 21.

Religious Affiliation
- Buddhist

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* 14. Religious Affiliation - Christian

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* 15. Jewish

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* 16. Hindu

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* 17. Islam

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* 18. Taoism (Daoism)

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* 19. Wicca

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* 20. Religion - Other

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* 21. Endorsing Body if different from Affiliation

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* 22. Military

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* 23. Military Branch (if applicable)

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