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* 1. Percentage of senior management who identify as women?

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* 2. Percentage of trustees or directors who identify as women? (Reply "N/A" if your company does not have a board of directors.)

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* 3. Total number of employees

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* 4. Company name

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* 5. Optional: Provide us your email address if you'd like to stay in touch. We will be releasing our report on women in leadership in January 2017.

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