Demographic Information Sheet - Pepperdine University
Demographic Information Form
Instructions: Please provide a response for each of the following questions:
1. What is your age? __________
2. What is you sex?
Female ( Male (
3. What is your marital status?
Single ( Married ( Separated ( Divorced ( Widowed (
4. What is your annual income (or combined annual income if you have a spouse)?
Less than $60,000 ( $60,001 to $70,000 ( $70,001 to $80,000 (
$80,001 to $90,000 ( $90,001 to $100,000 ( Greater than $100,000 (
5. With which racial or ethnic category do you identify?
African American ( Asian/Pacific Islander ( Caucasian ( Latino (
Other: ____________________
6. With what denomination or faith tradition do you most closely identify?
______________________________________________________________________
7. How long have you been employed as a tenure-track faculty member at Pepperdine? __________
8. What is your current academic rank?
Assistant Professor (
Associate Professor (
Full Professor (
Distinguished Professor (
9. To which school do you belong?
Graduate School of Education and Psychology (
Graziadio School of Business and Management (
School of Law (
School of Public Policy (
Seaver College (
10. Pepperdine sponsors several activities associated with the Lilly Voyage Project on vocation. Please list any of the activities associated with this project in which you have been involved.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
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