Registration Form
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At Nestle Canada, we strive to ensure that all of our events reach the most diverse populations possible. We are continuously looking to improve the communities that we reach through our programming. Please note that the next few questions will be used for analysis purposes only and answering them is completely voluntary. If you feel uncomfortable answering any of the questions, simply leave the answer blank. You may select “Prefer Not to Answer” if you prefer.
What is your gender identity? Please select Non-binary Gender non-conforming Trans Two-Spirit Man Woman Prefer to Self Describe Don’t Know Prefer Not to Answer
Gender Identity:
Please select which of the following best describe how you identify? Some examples are provided but the list is not exhaustive. Please select Black (e.g. African, Afro-Caribbean, African-Canadian descent) Indigenous (First Nation, Inuit, Metis) East Asian (e.g. Chinese, Korean, Japanese, Taiwanese descent) Latinx (e.g. Latin American, Hispanic descent) Middle Eastern (e.g. Persian, West Asian descent, eg. Afghan, Egyptian, Iranian etc.) South Asian (South Asian descent, e.g East Indian, Pakistani, Sri Lankan, Indo-Caribbean, etc.) Southeast Asian (Filipinx, Vietnamese, Cambodian, Thai, other Southeast Asian descent) White (European descent) Prefer to Self Describe Mixed racial identity Prefer Not to Answer Don't Know/Not Applicable
Prefer to Self Describe
If you are Indigenous/Aboriginal, and wish to provide further detail, please specify: Please select Inuit Metis First Nation Prefer to Self Describe Prefer Not to Answer Not Applicable
Prefer to Self Describe
Do you identify as having a disability? If so, please select from the following: Please select Mobility, coordination or dexterity impairment Visual impairment Hearing impairment Non-visible physical impairment Developmental disability Learning disability Mental disability or disorder (e.g. severe depression, bipolar disorder, substance abuse disorder) Prefer to Self Describe Prefer Not to Answer Don't Know/Not Applicable
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Accessibility: Are there any accommodations that will make this event more accessible to you? We try our best to meet all accessibility requests and will contact you if needed to discuss further.
