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First Name: Middle Name: Last Name: Suffix: Email: City: State (US & Canada): Town/Province/Region (non-US & Canada): Zip: - Country: Phone:

Demographics Details

IDA collects demographics information for funder reporting and Diversity, Equity, and Inclusion (DEI) purposes. Help us better serve our mission and the documentary community.

What is your age?

13 to 17

18 to 24

25 to 34

35 to 64

65 and over

Which category or categories describe you (race, ethnicity, national identity)? Check all that apply:

Arab or Middle Eastern or North African or Arab Diaspora

Asian or Asian American or Asian Ancestry

Black or African American or Sub-Saharan African or African Diaspora

Hispanic or Latinx/Latina/Latino or Spanish Ancestry

Indigenous (including Native American, First Nations, Aboriginal People)

Native Hawaiian or Pacific Islander

White or Caucasian or European American

Prefer not to answer

Other

Gender: Do you consider yourself a member of the Lesbian, Gay, Bisexual, Transgender, and/or Queer (LGBTQ+) community?

Yes

Prefer not to say

Prefer to self-describe

Do you identify as D/deaf or disabled person or have long-term health conditions?

Yes

Prefer not to answer

Guild Affiliation (if any):