Please Tell Us About You!

By assisting in voluntary reporting of the demographic profiles of our program participants, you help ensure parity of service delivery and continued funding to support programs that matter to YOUR community!

WSU Extension programs and policies are consistent with federal and state laws and regulations on nondiscrimination regarding race, sex, religion, age, color, creed, and national or ethnic origin; physical, mental, or sensory disability; marital status or sexual orientation; and status as a Vietnam-era or disabled veteran. Evidence of noncompliance may be reported through your local WSU Extension office.

* 1. Your name/ Leaders Names
Group name/ organization?

* 2. What was the name AND DATE of the event you attended?

* 3. How many hours was this event?

* 4. Was this an event group that met (or will meet) more than once this year? (If you are reporting on a group and you have already entered their demographics this year, you only need to complete questions 1-4.)

* 5. Please provide the numbers of attendees as identified below

* 6. For attending youth, please identify (or estimate) number for each age/grade

* 7. What number of attending youth identify as Hispanic?

* 8. Please identify (or estimate) the numbers of youth in each race category.

* 9. What number of attending adults identify as Hispanic?

* 10. Please identify (or estimate) the numbers of adults attending in each race category.