2023 Green Bay SHRM Workplace Diversity, Equity and Inclusion Award Nomination Form

What is the Workplace Diversity, Equity and Inclusion Award and why is it offered?

Part of Green Bay SHRM Diversity, Equity and Inclusion Committee’s mission is to recognize successful diversity, equity and inclusion (DEI) efforts in the workplace. We want to provide an avenue to recognize organizations and/or companies who foster an inclusive work environment in which all employees are inspired to contribute their best through their different perspectives, backgrounds and experiences. We are also going to share ideas generated through these applications with other SHRM – Green Bay members to help them further DEI at their organizations!

Two award recipients will be chosen based upon organization size. The awards will be presented at the April 12, 2023 Green Bay SHRM meeting.

Who is eligible?

Organization/company nominated for this award should:

• Have displayed diversity in their local community.

• Be a role model for others in their advocacy of diversity.

• Have demonstrated leadership in championing the cause of racial, cultural, ethnic, disabled, linguistic, and other aspects of diversity within the human resources profession and community.

• Be an organization, company or division of an organization/company that is based in the greater Green Bay, Wisconsin area.

Who can nominate?

• An organization is able to self-nominate by submitting the application

• If you are nominating an organization other than your own, please work directly with the organization to fill out the nomination form. We want to ensure that the organization has had the opportunity to add initiatives, etc. to the application.

What is the nomination process?

•Complete the nomination form online below and submit by the deadline. Questions should be directed to:

Stephenie Penterman, HR Manager at Hemophilia Outreach Center stepheniep@hocgb.org OR

Sarah Diederich, Senior Talent Acquisition Consultant at Associated Bank sarah.diederich@associatedbank.com

When are nominations due?

• A completed nomination form must be received by March 3, 2023, for consideration.

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* 1. What organization would you like to nominate?

Name of Organization

Address

Company Website

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* 2. What is the size of the organization?

Small/Mid Size (1-400 Employees)

Large (400+ Employees)

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* 3. What is the name, job title, and phone number of a contact person at this organization?

Contact Name

Contact Job Title

Contact Phone Number

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* 4. Please enter your name, organization, title and email address if it is NOT the same as the contact person listed above.

Your Name

Your Organization

Your Job Title

Your Email Address

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* 5. Describe internal and external practices implemented within the organization that demonstrate efforts to advance DEI in its workforce.

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* 6. What are some examples of things the organization has done that have made an impact on advancing DEI within the organization? (Please note specific activities that demonstrate that the organization "walks the walk")

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* 7. Describe specific recruitment efforts that demonstrate efforts to build a diverse workforce.

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* 8. What actions or programs has the organization implemented to promote inclusivity at the organization?

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* 9. How has the organization, including its leadership, demonstrated their awareness and commitment to DEI internally and within the community?

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* 10. Please add any additional comments here:

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* 11. If you would like to upload any relative information to the award nomination please do so here:

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