ABA & Behavioral Therapy for Autism | Connect Plus Therapy

EEO Survey
Your Name(Required)

What is your race/ethnicity?

Please mark the box that describes the race/ethnicity category with which you primarily identify. The options are as follows:

  1. Hispanic or Latino: a person of Cuban, Mexican, Chicano, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
  2. White (Not Hispanic or Latino): a person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
  3. Black or African American (Not Hispanic or Latino): a person having origins in any of the black racial groups of Africa.
  4. Asian (Not Hispanic or Latino): a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
  5. Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino): a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
  6. American Indian or Alaska Native (Not Hispanic or Latino): a person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
  7. Two or More Races (Not Hispanic or Latino): a person who primarily identifies with two or more of the above race/ethnicity categories.
This field is for validation purposes and should be left unchanged.