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If yes, please explain the nature of the crime and the date of the conviction and disposition. * Please share what program/event you are presenting for. * Who is your LightHouse point of contact? * Let's keep in touch! We LOVE keeping our wonderful volunteers in the loop with the news, opportunities and exciting developments at the LightHouse! So tell us, are you an eNews fan (via email) or a Quarterly Print Newsletter fan? Alternative formats are available! Please review the options below and choose (ctr/cmd+click) as many as you wish. Weekly E-mail NewsletterMonthly Youth eNewsletterQuarterly BrailleQuarterly Large PrintQuarterly CassetteDemographic Information This information is collected and used for Affirmative Action quarterly and yearly reporting purposes only. If you choose not to disclose some of this information, simply select 'Declined' from among the drop-down options. Thank you! Birthdate (mm/dd/yyyy) * Highest level of education completed * --None--No Formal SchoolingElementary (grades 1 - 8)Secondary, no high school diploma (grades 9 - 12)High School or Equivalency CertificatePost Secondary Education/Some CollegeBachelors DegreeMasters Degree or HigherDid Not Report Ethnicity * --None--AfricanAfrican AmericanAlaska NativeAsian OtherCambodianCaucasianChineseEastern EuropeanFilipinoJapaneseKoreanLaotianLatinoMiddle EasternNative AmericanPacific IslanderVietnameseMulti-EthnicOtherDeclined Gender Identity * --None--MaleFemaleTrans MaleTrans FemaleGenderqueer / Gender Non-binaryOtherDeclined Do you have a disability?* * --None--YesNoDeclined What is your level of vision?** * --None--Legally BlindSevere Visual ImpairmentTotally BlindSightedDeclined Are you over the age of 55? * --None--YesNoDeclined Are you a veteran?*** * --None--YesNoDeclined * Under the ADA Amendments Act of 2008, a disability is defined as: (1) a physical or mental impairment that substantially limits a major life activity; or (2) a record of a physical or mental impairment that substantially limited a major life activity; or (3) an actual or perceived impairment.** Legal blindness is a level of vision loss that has been legally defined to determine eligibility for benefits. The clinical diagnosis refers to a central visual acuity of 20/200 or less in the better eye with the best possible correction, and/or a visual field of 20 degrees or less.*** A veteran is a person who served in the active military, naval, or air service, and who was discharged or released there from conditions other than dishonorable.