LEEP Demographic Survey

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We kindly request our equity and non-equity applicants and licensees' assistance in filling out an important demographic information survey on behalf of the Cannabis Equity Grants Program for Local Jurisdictions. Your participation will greatly contribute to the understanding and support of diverse needs within our community.

Your participation in this survey is entirely voluntary, and you may choose to skip any questions that you do not wish to answer. However, the more comprehensive the data we receive, the more accurately we will understand possible community needs.  

This survey will close Friday, December 6, 2024.


Please correct the fields below:

1
Are you an equity applicant, an equity licensee, or a general (non-equity) applicant or licensee?
Are you an equity applicant, an equity licensee, or a general (non-equity) applicant or licensee?
2
What is your age group?
 *
What is your age group?
3
What is your race and ethnicity?
 *
What is your race and ethnicity?
4
What is your gender?
 *
What is your gender?
5
What is your sexual orientation?
 *
What is your sexual orientation?
6
Do you or one or more of the business owners have a disability?
 *
Do you or one or more of the business owners have a disability?
7
What is your income level?
 *
What is your income level?
8
What is your educational attainment?
 *
What is your educational attainment?
9
Have you or a member of your immediate family been convicted of cannabis-related charges?
Have you or a member of your immediate family been convicted of cannabis-related charges?
10
Have you or a member of your immediate family been incarcerated for any prior cannabis-related charges?
Have you or a member of your immediate family been incarcerated for any prior cannabis-related charges?
11
Do you or one or more owners of the business entity currently serve or have served in the military?
Do you or one or more owners of the business entity currently serve or have served in the military?
  1. To receive a copy of your submission, please fill out your email address below and submit.