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CWS Buddy Program
Thank you for your interest in being matched with a Buddy in the CWS Buddy Program. We will use your responses to the following questions for matching purposes. Demographic questions are optional and not required. No reports will be generated using the demographic data.
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* Indicates required question
Name:
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Your answer
Email address:
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Your answer
Which categories best describe you? (Check all that apply)
American Indian or Alaska Native
Asian
Black, African American, or African
Hispanic, Latino, or Spanish origin
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
White
Prefer not to answer
None of these fully describe me, I want to specify my identity below:
Other:
What is your gender identity? (Check all that apply)
Man
Woman
Non-binary
Transgender
None of these describe me, and I would like to consider additional options
Prefer not to answer
If you selected "I would like to consider additional options" above, are any of these a closer description to your gender identity? (Check all that apply)
Trans man/Transgender Man/FTM
Trans woman/Transgender Woman/MTF
Genderqueer
Genderfluid
Gender variant
Two-spirit
Questioning or unsure of your gender identity
None of these describe me and I want to specify below:
Other:
What is your highest degree and in what area?
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Your answer
What area (academia, pharmacy, government, etc.) do you currently work in?
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Your answer
Are there particular characteristics you are seeking in a buddy?
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Your answer
Do you have any questions about CWS?
*
Your answer
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