Art In Public Places Program Applicants
Demographic Survey

The City of Austin is working to better diversify applicants in our collection, please complete the survey at the link below prior to submitting your application to be eligible for this opportunity.

For statistical purposes only, the Cultural Arts Division's Art In Public Places Program invites applicants to Calls to Artists to provide self-identified demographic information. Submission of this information is voluntary, and refusal to provide it will not subject the vendor or contractor to any adverse treatment.

This information will be kept confidential and may only be used in accordance with the provisions of applicable laws and regulations. When reported, data will not identify any specific individual.

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your company name?

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* 4. What is your email address?

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* 5. What is your postal code?

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* 6. How would you describe your gender?

Female

Male

Transgender

Gender-nonconforming, Genderqueer

I prefer not to answer

Other (please specify)

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* 7. Which of the following do you self-identify as?

Member of the LGBTQI Community

Member of the Disability Community

Not a member of either group

I prefer not to answer

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* 8. What is your preferred pronoun? How do you prefer to be addressed?

She/Her

He/Him

They/Them

I prefer not to answer

Other (please specify)

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* 9. Do you identify as any of the following? Please mark all that apply.

Hispanic, Latino/a, or Spanish Origin: For example, of Mexican or Mexican American, Puerto Rican, Cuban, Salvadoran, Dominican, Columbian, etc. descent

White: For example, of German, Irish, English, Italian, Polish, Russian, French, etc. descent

Black or African American: For example, of African American, Jamaican, Haitian, Nigerian, Ethiopian, Somalian, etc. descent.

Middle Eastern or North African: For example, of Lebanese, Iranian, Egyptian, Syrian, Moroccan, Algerian, etc. descent

Native Hawaiian or Other Pacific Islander: For example, of Native Hawaiian, Samoan, Chamorro, Tonga, Fijian, Marshallese, etc. descent

Asian: For example, of Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese, etc. descent

American Indian or Alaska Native: For example, of Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc. descent

I choose not to disclose this information

Other (please specify)

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* 10. What Call to Artist are you applying for? Please use the name listed on PublicArtist.Org.

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* 11. Are you a veteran?

Yes

I choose not to disclose this information