Cypriot American Census

Last Name: First Name: Middle Name: Address: City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming American Samoa Federated States of Micronesia Guam Marshall Islands Northern Mariana Islands Palau Puerto Rico U.S. Minor Outlying Islands Virgin Islands Armed Forces Americas Armed Forces Europe, the Middle East, an Armed Forces Pacific Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Territory Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Zip: - Zip Suffix Home Phone: Mobile Phone: Email: Gender: Female Male Other Birth Date (MM/DD/YYYY): / / Marital Status: Married Single Spouse's Last Name: Spouse's First Name: Highest degree or level of schooling (optional): Less than High School High School Graduate Some College Associates Degree Bachelor's Degree Master's Degree Doctorate Degree Current Employment Status: Employed Unemployed Retired Homemaker Self Employed Student Occupation/Profession: Administrative Arts and Entertainment Broadcasting Computer, Software and Information Services Construction College, University and Adult Education Doctor Finance Government and Public Administration Health Care and Social Assistance Hotel and Food Services Lawyer Military Publishing Primary/Secondary (K-12) Education Real Estate Retail Wholesale Other N/A If Other, please specify: Role in the industry: Upper Management (CEO, President, Owner, CFO) Middle Management Junior Management Administrative Staff Support Staff N/A Approximate household annual income (optional): $35,000 - $49,999 $50,000 - $74,999 $75,000 - $99,999 $100,000 - $149,999 $150,000 - $249,999 Over $250,000 Ethnic Group: Greek Cypriot Armenian Cypriot Maronite Cypriot Latin Turkish Cypriot Other If Other, please specify: Country of Birth: Cyprus Greece United States Other If Other, please specify: District (if Cyprus): Nicosia Limassol Larnaca Paphos Famagusta Kyrenia Other Municipality (if Cyprus): Village (if Cyprus): What generation of Cypriot American are you? 1st Generation 2nd Generation 3rd Generation Other or N/A If Other, please specify: Birthplace of father: Nicosia Limassol Larnaca Paphos Famagusta Kyrenia Other If Other, please specity: Village (if Cyprus): Birthplace of mother: Nicosia Limassol Larnaca Paphos Famagusta Kyrenia Other If Other, please specify: Village (Cyprus): I am the spouse of a: First generation Cypriot American Second generation Cypriot American Third generation Cypriot American Other If Other, please specify: Proficiency level of the Greek language: Speaking Excellent Good Average Poor None Proficiency level of the Greek language: Reading/Writing Excellent Good Average Poor None Are you affiliated with any Greek or Cypriot Associations or Groups? Yes No Name of Association/Group: Name of Association/Group: Name of Association/Group: Are you a member of a Greek Orthodox Church? Yes No Name of Church City State Are you affiliated with any social media accounts? Yes No If YES check all that apply: Other: Would you like to receive information on FCAO upcoming events and newsletters? Yes No Last Name: First Name: Date of Birth: Gender: Male Female Other Last Name: First Name: Gender: Male Female Last Name: First Name: Gender: Male Female Last Name: First Name: Gender: Male Female Last Name: First Name: Gender: Male Female Captcha