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Contact Information

First Name

Last Name

Are you submitting information for a Monthly or Yearly Meeting?

Monthly MeetingYearly MeetingOther

Which Monthly Meeting do you represent?

Which Yearly Meeting do you represent?

Your relationship to the Meeting:

Please indicate in what capacity you are providing this information.

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Phone Number

Phone

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Email Address

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Total Monthly or Yearly meeting membership

How many individuals are associated with the Yearly Meeting and its constituent Monthly and Quarterly Meetings?

Does the Yearly Meeting collect demographic data directly or through the Monthly Meetings, including data about race/ethnicity?

Yes, we collect this data directly from members.Yes, we solicit this data from our constituent Monthly Meetings and Worship GroupsNo, we do not collect demographic data from our members.

Please indicate, to the best of your knowledge, how many individual members of the Yearly Meeting fall into the following categories:

Meeting Demographics

	Race/Ethnicity	Number of Members

	Race/Ethnicity	How Many?
	Update if your meeting uses an additional racial/ethnic category not represented above.

	Age Range	Number of Members

	Gender	Number of Members






	(members who are asked and chose not to share gender description)
	Update if your meeting uses an additional racial/ethnic category not represented above.

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Contact Information