Equal Opportunity for All Survey

Thank you for choosing University of Maine Cooperative Extension for your educational needs. It is important that we ensure equal opportunity to all who might benefit from our programs. As a way to document those we are reaching, we are seeking the following information on an optional and anonymous basis.
Name of the program you attended/participated in:*
What is your race/ethnicity (please check all that apply)?
- American Indian / Alaska Native
- Asian
- Black or African American
- Hispanic or Latino
- Native Hawaiian and other Pacific Islander
- White (Caucasian)
- Other
Gender
How many females participated?
How many males participated?