CWS Buddy Program

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CWS Buddy Program - Buddies

Thank you for your interest in serving as 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.

Name: *

Email address: *

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? *

What area(s) (academia, pharmacy, government, etc.) have you worked in? *

How long have you been a member of CWS? *

What CWS committees, if any, have you served on? *

What CWS officer position(s), if any, have you held before? *

Can you commit to 30 minutes per month to meet with your Buddy? *

Yes

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