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To measure, prevent, and mitigate cumulative and disproportionate adverse impacts on Limited English Proficiency, minority, and low-income populations, relevant demographic data for our projects and programs must be collected and analyzed.

All fields marked with an asterisk (*) are required

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Gender
Disability
Country of Birth
What is your Marital Status?
Language Spoken at Home (Check as many as apply):
Age
Do You Identify with any of the Following Religions?
What is the Highest Degree, or Level of Education you have Completed?
What is Your Approximate Average Household Income?

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