Movement Research collects demographic information for internal use only. This information is used to evaluate the reach and access of our programs, and in reporting to our funders. Internal demographic evaluation and reporting with funders will be done anonymously.

We acknowledge the complexities inherent in this type of information collection and are committed to the ongoing examination of the language used around demographics. We welcome your feedback in the box at the bottom of this page.

If you are submitting this form as a part of an application, please note that the deadline for submitting this form is the same as the deadline for submitting your application. 

If you experience any technical difficulties completing this form, please contact Submittable's customer support: https://www.submittable.com/help/submitter/