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Thank you for your interest in joining the 2022 Cal-IPC Symposium.

Cal-IPC is committed to creating equitable access to our resources. This free rate is designed for members of our community for whom the cost of registration would be a barrier to participation. Please fill out this survey form so we can report audience demographics to funders who support efforts to expand our audiences. The data gathered is completely anonymous, but may be shared in aggregate form. Thank you for your participation!

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* 1. Which of the following categories best describes your employment status?

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* 2. What was your total combined household income in 2020?

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* 3. Which category below includes your age?

We recognize that societal inequities unfairly impact the economic opportunities for people of color and other marginalized communities. Please let us know a little bit about yourself. These statistics help us inform our funders about the audiences we serve through discounted or free rates. Thank you. 

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* 4. What is your gender identity?

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* 5. Do you identify as a member of the LGBTQIA community? 

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* 6. What is/are your racial or ethnic identity/identities? (Select all that apply.)

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* 7. Are you a person living with a disability?

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* 8. Is English your first language?

Thank you for your response! 

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