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UC Health Application
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UC Health Application
Application for UC Health’s Diversity, Culture & Inclusion Council
What is your name?
*
What is your Title/Role?
*
What is your Race/Ethnicity?
*
Native American
Asian/East Indian
Black/African American
Hispanic/Latino
Multi-Racial
Nativa Hawaiian/Pacific Islander
White
What is your Gender?
*
Male
Female
Other
How long have you worked at UC Health?
*
Less than 6 months
6-12 Months
1-3 Years
3-6 Years
6-10 Years
10-15 Years
15-20 Years
20-30 Years
30 or More Years
What is your Council Location?
*
UC Medical Center (UCMC)
West Chester Hospital
Daniel Drake Center for Post-Acute Care
UC Health Business Center
UC Health Ambulatory - North
UC Health Ambulatory - South
What is your email address?
*
Please provide the best number to reach you?
*
What is your manager's name?
*
In what ways do you believe that the Council can add value to the organization?
*
Why are you interested in serving on the Diversity, Culture & Inclusion Council?
*
What do you perceive will be the most significant challenges that the Council members will face?
*
What knowledge, skills and experience do you believe you would bring to the Council?
*
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