2021-2022 Tsai CITY Intensives

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What is your name? *

What is your email address? *

Do you live in the New Haven area? *

Yes

What is your current occupation? *

Undergraduate student

Graduate student

Full-time entrepreneur or other working professional

Demographic Data

Here at the Tsai CITY, our mission is to inspire and support students from diverse backgrounds and disciplines to seek innovative ways to address real-world problems. We are asking for demographic information to ensure that we are creating opportunities for and supporting students from all backgrounds and experiences. Please note that these questions are optional.

What is your gender?

Man

Woman

N (Neutral, non-binary, gender non-conforming)

Prefer not to answer

Clear selection

What racial and/or ethnic group(s) do you identify with?

Please feel free to use the "Other" space to describe the racial and/or ethnic group(s) you identify with however you choose.

White alone (not Hispanic or Latino)

Black or African American

Asian

Native Hawaiian and Other Pacific Islander

Two or More Races

Hispanic or Latino

Prefer not to answer

Other:

What are identities that you hold that are important to you?

Examples include but are not limited to: gender, race, ethnicity, political affiliation, generation, education level, ability, cultural identity, occupation, sexuality, family structure, housing status, mental health (health status/ ability), incarceration status, institution affiliation, primary language, religion, immigration status, medical history, first-gen, income/ socio-economic class, quality of education, occupation, and/or parent’s education.

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