One of the purposes of the CCLI program is to increase the participation
and success of women, underrepresented minorities, and persons with disabilities
in science, technology, engineering, and mathematics (STEM) disciplines.
We invite you to fill out the following form that will help us document
and evaluate how well this project is addressing this purpose. The data
collected will only be used in a statistical sense to help evaluate the
success of the project. The data collected will not be used for any other
purposes. Your cooperation is greatly appreciated.
1. What is your gender?
What is your Race/Ethnicity? (Please select one category only. If two
or more racial/ethnic categories are applicable, choose the one
category with which you most closely identify.)
White (not of Hispanic origin)
Black/African-American(not of Hispanic origin)
American/Indian or Alaskan Native
3. Do you have any disability?
4. If yes, please specify:
5. How did you learn about this website?
6. Do you have any comments about this website? Any suggestions for improvement?
Thank you for your time!!!