Inclusive Workforce Employer Program Welcome Survey

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* 1. Name of organization:

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* 2. How many employees are in your organization?

Less than 10

10-50

50-200

200 or more

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* 3. What is your industry?

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* 4. Please provide a contact for the I-WE program and designation.

Name

Email Address

Phone Number

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* 5. Briefly describe your organization's interest in this program and any experience with diversity, equity and inclusion efforts to date. Please note that this has no bearing on your eligibility to participate in the I-WE program.

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* 6. Are the concepts of diversity, inclusion or equity currently part of your organizational values or mission statement? Please note that this has no bearing on your eligibility to participate in the I-WE program.

Yes

No

Other (please specify)