Partnership MKE 2019-20 Application United Way of Greater Milwaukee & Waukesha County These questions are intentionally in depth. They are necessary in order for the Partnership MKE experience to be successful. Please answer all of the questions to the best of your ability. OK Question Title * 1. Contact information Full Name Company Address City State ZIP Code Email Address Phone Number OK Question Title * 2. The city you currently reside in OK Question Title * 3. Title in your company OK Question Title * 4. Level of education High school diploma Associate's degree Bachelor's degree Master's degree Ph.d Other (please specify) OK Question Title * 5. Gender Male Female Transgender Other OK Question Title * 6. Race Native American Asian African American/Black Caucasian/White Middle Eastern Native Hawaiian/Pacific Islander Hispanic/Latino Multi-racial Other OK Question Title * 7. Place of birth OK Question Title * 8. Date of birth OK Question Title * 9. Marital status Married Divorced Single Widowed Other OK Question Title * 10. Sexual orientation OK Question Title * 11. Religious affiliation (if applicable) Christianity Judaism Islam Bahâ'i Faith Rastafarianism Buddhism Hinduism Jainism NA Other (please specify) OK Question Title * 12. Military status Member of the armed forces (active or retired) Not a member of the armed forces OK Question Title * 13. Number of children OK Question Title * 14. Hobbies/interests OK Question Title * 15. Political party affiliation (optional) Democratic Republican Independent Other (please specify) OK Question Title * 16. When looking at the current state of Milwaukee, what biases/prejudices are most important to you? OK Question Title * 17. Based on the previous question, what would you do to improve them? OK Question Title * 18. Is there anything we should know about your background that may preclude you from being paired with someone? (i.e. religious beliefs) OK DONE