Rotary DEI Survey

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* 1. Club Name

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* 2. Club Contact Email

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* 3. Club Contact Phone

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* 4. Is your club actively working to address Diversity, Equity and Inclusion?

Yes

No

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* 5. If Yes, please check all that apply:

Adopting a club statement about DEI

Identifying a DEI committee or task force

Setting DEI goals for your club

Posting your club’s commitment to DEI on your website, social media, newsletter, etc.

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* 6. Is your club interested in connecting with others in District 5950 on DEI issues?

Yes

No