Diversity Questionnaire
Homestead Community Land Trust is committed to creating a diverse organization and a
workplace that is respectful of and welcoming to people from all backgrounds. The
purpose of this questionnaire is to assure that we are reaching diverse audiences as we
advertise positions for employment. By completing this questionnaire, you will help us
learn about the best ways to reach a diverse applicant pool.
Please note that this form is a required part of applying for a position at Homestead
Community Land Trust, but you may choose whether or not to answer any question. You
are not asked to sign this questionnaire. This questionnaire will be immediately separated
from other application materials by a staff member uninvolved in hiring decision-making
and will not be considered in any part of the hiring process.
Position applied for: _____________________________
I prefer not to say ☐
Age:
_____________________________
I prefer not to say ☐
Gender:
_____________________________
I prefer not to say ☐
Race/Ethnicity:
_____________________________
I prefer not to say ☐
Sexual Orientation: _____________________________
I prefer not to say ☐
Do you have a disability
☐ Yes
☐ No
I prefer not to say ☐
We appreciate you taking the time to complete this questionnaire
and thank you for your interest in Homestead Community Land Trust!
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412 Maynard Avenue South, Ste. 201. • Seattle, WA 98104 • (206) 323-1227 • info@HomesteadCLT.org
www.HomesteadCLT.org