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* 1. Name

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* 2. Email

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* 3. How would you rate diversity and inclusion in our organization?

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* 4. How would you describe your gender identity?

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* 5. What race/ethnic group do you belong to?

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* 6. Have you ever felt marginalized in the workplace as a result of your race? Please share your experience.

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* 7. Do you identify as a person with disability? If yes, what kind?

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* 8. Do you feel that IBEW 1049 values your unique background and experiences?

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* 9. People of all cultures and backgrounds are valued here.

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* 10. If I had a concern about harassment or racism, I know where to lay my complaints.

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* 11. Would you be interested in joining the Electrical Workers Minority Caucus?

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* 12. Would you be interested in joining the Equal Opportunities Committee?

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