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DIVERSITY, EQUITY + INCLUSION CONTRIBUTION REQUEST FORM

Warner is dedicated to fostering diversity, equity and inclusion within our workplace and communities. Our DEI-related sponsorships invest in: entrepreneurship/small business, community education and/or talent pipeline programs.

Please complete the following form in its entirety to be considered for funding. Due to the high volume of sponsorship requests we receive, we are not able to fund every worthy request that comes our way. Email supporting documentation regarding your request to DEI_External_Relationship_Subcommitee@wnj.com.
1.Your name and job title.
2.Organization name and funding amount requested.(Required.)
3.What is the overall mission of your organization?(Required.)
4.Please describe the program you are seeking support for and explain how the programming supports diverse individuals in establishing entrepreneur/small business skills, educates the community on race/cultural topics or develops opportunities for diverse candidates entering the job field.(Required.)
5.Is this request for a new program/initiative or an existing program/initiative?(Required.)
6.If this is for an existing program, please share detailed information regarding the program’s success and impact for the past 2 years. If this program is new, please outline the intended result and impact.
7.Who is your organization’s target audience?(Required.)
8.Is an individual from Warner currently involved in your organization? If yes, how?
9.Has your organization received funding from Warner in the past? If yes, provide details regarding when and the program(s) supported.
10.If you are selected for funding, we require a report that outlines the sponsored program's impact and success. Do you agree to provide this report?(Required.)
11.How did you hear about Warner Norcross + Judd?(Required.)
12.Please include any additional information you feel is relevant to this request.
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