Michigan Breastfeeding-Friendly Workplace Awards Application Survey

Families are more successful with breastfeeding when they live and work in supportive communities. The Michigan Breastfeeding Network (MIBFN) wishes to recognize Michigan employers that provide workplace support to breastfeeding employees through our Michigan Breastfeeding-Friendly Workplace Awards. MIBFN’s goal with the Workplace Awards Program is to shift organizational policy and culture to center breastfeeding families, specifically Black and/or Indigenous families of color.

In order to qualify for a Workplace Award, employers must provide flexible breaks and a private, secure area for employees to express milk in accordance with the Break Time for Nursing Mothers law.

Award level will be determined by the following criteria based on the checklist found on the next page:

Bronze: 1-5 strategies
Silver: 6-10 strategies
Gold: 11+ strategies

Please note that we process applications monthly. Thanks for all you do to support breastfeeding families in Michigan!

The Michigan Breastfeeding-Friendly Workplace Awards are a component of the Michigan Breastfeeding Network’s “MI Breastfeeding-Friendly Businesses Project,” a worksite lactation support initiative funded by the Cardiovascular Health, Nutrition and Physical Activity Section at the Michigan Department of Health and Human Services (MDHHS). The project is intended to increase the number of Michigan businesses able to assess their compliance with the federal breastfeeding accommodation law.

Question Title

Contact Information

Applicant's Full Name

Email Address

Phone Number

Question Title

Workplace Information

Company Point of Contact's Full Name *

Company Name *

Address *

City/Town, Michigan *

County

ZIP/Postal Code *

Company Website *

Company Facebook Page *

Question Title

Is your employer part of a larger company with more than one location in Michigan?

Yes

Application Checklist:
Please check the boxes below that apply to your organization.

Question Title

Adherence to the Break Time for Nursing Mothers Law

Reasonable break time for an employee to express breast milk

Private place, other than a bathroom, which may be used by an employee to express breast milk

Question Title

Policy and Education

Verbal agreement between employee and direct supervisor regarding break times and space to express milk

Verbal or written breastfeeding policy

Verbal information provided to all employees about breastfeeding support

Written breastfeeding support policy with education provided for all employees

Educational packet about benefits of breastfeeding given to all expectant and/or breastfeeding employees

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Facilities

Comfortable chair for pumping/nursing

Small table

Electrical outlet

Refrigerator or personal cooler for milk storage

Nearby sink with running water or sanitizing wipes for clean-up

Radio/cassette/CD player

Telephone

Breastfeeding mother art

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Scheduling

Ability to work part-time or some hours from home

Flextime or job-sharing option

On-site childcare

"Baby-at-work" program

Up to 12 weeks maternity leave (at least 6 weeks paid)

Breast pump provided or subsidized by employer

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Resources

List of local breastfeeding resources

Lactation consultant services provided for employees (via insurance or paid by employer)

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Other

Completion of the Designing Healthy Environments at Work (DHEW)

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Contact Information

Question Title

Workplace Information

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Is your employer part of a larger company with more than one location in Michigan?

Question Title

Adherence to the Break Time for Nursing Mothers Law

Question Title

Policy and Education

Question Title

Facilities

Question Title

Scheduling

Question Title

Resources

Question Title

Other

Question Title

In 1-2 sentences, what would you like us to know about your employer's support of breastfeeding employees?