Student Civil Rights Survey Demographic Information Question Title * 1. Are you: Male Female Other (please specify) Question Title * 2. What grade are you in? 12th Grade 11th Grade 10th Grade 9th Grade Other (please specify) Question Title * 3. How do you describe your race/ethnicity? (choose as many as apply) American Indian or Alaska Native Asian Black or African American Hispanic/Latino (of any race) Native Hawaiian or Other Pacific Islander White Question Title * 4. What is your first (home) language? English Spanish Somali Vietnamese Chinese Russian Other (please specify) Next