Personal Demographics

You may identify with more than one trait listed in certain sections. Please fill in two or more circles when applicable.If you prefer not to answer, you may leave some sections blank.

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* 1. The Racial and Ethnic Identity(s) that best describe me are:

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* 2. Gender Identity

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* 3. Sexual Orientation

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* 4. Do you have a disability (i.e. physical, intellectual, psychological, learning)

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* 5. Education Level Completed

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* 6. Religious or Spiritual Practice

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* 7. Age

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* 8. Is English your first language?

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* 9. Do you communicate with more than one spoken language?

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* 10. Where did you live primarily as a child? (Please select all that apply)

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* 11. How many years have you been with L'Arche GWDC?

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* 12. Do you live in a L'Arche Home (Euclid, Highland, Ontario, or 6th Street)?

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* 13. Current Role(s) at L'Arche GWDC

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