Join the ARC Network Form

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What state do you currently reside in?

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How would you describe your career level?*

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How would you describe your sector of employment?*

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What is your race and/or ethnicity?

Below are the categories traditionally collected by the U.S. Census. We are providing these options so that we can compare our membership to national trends; however, we recognize that these categories are limited and, as such, provide additional space for you to tell us about your heritage, nationality, and ethnic- and racial- identity in addition to these options and welcome suggestions you have to make this list more comprehensive.
How would you describe your racial and/or ethnic identities? (check all that apply)*

Asian or Asian AmericanBlack or African AmericanChicana, Chicano, or ChicanxHispanicJewishLatina, Latino, or LatinxMiddle Eastern or Middle Eastern AmericanNative AlaskanNative American or American IndianNative HawaiianPacific IslanderWhite or CaucasianI’d prefer not to share this information with youNot listed (please specify)
Regardless of whether you have gone through a formal process or received a diagnosis, do you have a disability or chronic condition or experience normative environments as disabling?*

YesNoI’d prefer not to share this information with youNot listed (please specify)
How would you describe your gender? (check all that apply)*

AgenderGender non-conformingGenderqueerManNon-binaryPangenderTransgenderWomanI’d prefer not to share this information with youNot listed (please specify)
How would you describe your sexuality?*

AsexualBisexualGayHeterosexual or StraightLesbianMan loving manPansexualQueerQuestioningWoman loving womanI’d prefer not to share this information with youNot listed (please specify)
How did you hear about the ARC Network?*

From WEPAN CommunicationsFrom ARC Network CommunicationsFrom official NSF ADVANCE communicationsFrom the ADVANCE ListservAt a conferenceFrom a colleagueFrom an internet searchOther
ARC Network Communications

Yes, I would like to receive information about ARC Network publications, news, and events.
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