Illuminators Diversity Survey Question Title * 1. Enter your company of Employment Question Title * 2. Describe your race/ethnicity Caucasian/White African American/Black Asian Hispanic/Latino Other Other (please specify) Question Title * 3. What's your gender? Female Male Question Title * 4. Number of years as an Illuminator Question Title * 5. What positions have you held within the Illuminators? Hilite Tailite Sidelite Headlite Honorlite N/A Other (please specify) Question Title * 6. Interest in Illuminator Leadership positions? Yes No Still Deciding Question Title * 7. Number of Illuminator Annual Meetings you've attended? Question Title * 8. Your Illuminator Improvement Recommendations Question Title * 9. If you're interested in volunteering for leadership roles, please provide your contact information. Name Company Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number Done