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Name *

First

Last

Email *

Phone Number *

Organization Name

Organization Website

What brings you to Inclusant's site today? *

What area(s) of diversity and inclusion are you interested in addressing?

What sort of timeline do you have for training?

What time and resources do you anticipate committing to working with Inclusant on diversity?

We have a diversity plan and want help sustaining our efforts
We want to start long term strategic planning and have dedicated resources to doing this over time
We envision multiple training sessions for our community
We want to have different trainings for segments of our community
We want one training session
Unsure: we are just starting out and need more information about how to do this as well

What service(s) are you interested in?

How many people are in your organization?

What is your organization's mission / vision?

If you are looking to work with someone of a particular demographic, please specify below?

Describe your diversity & inclusion priorities right now *

Have there been previous diversity, equity, and inclusion initiatives in which the organization has been involved?

What is the organizational attitude towards diversity, equity, and inclusion?

Any additional notes (If you selected 'other' for any of the questions above, please provide a short explanation)

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