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Equitable Organizations Service Request
Home
What We’re Doing
Race & Gender Equity
Creating Equitable Organizations
Equitable Organizations Service Request
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We are honored and excited about the possibility of partnering with you for the transformational journey of deepening inclusion and equity that centers racial justice in your organizational culture. Please take some time to respond to this form to the best of your knowledge. This is a way to initiate the possibility of collaboration and work together.
Name of Organization:
*
Contact Info for the Main Liaison for this Request
Name
*
First
Last
Email
*
Phone
Role within the Organization
Information about your Organization
Mission & Vision
Please share your stated organizational mission, vision and/or values (if you have explicitly created these).
Summary of Services, Products, Activities, Etc. your Organization Provides
Size of Organization
1 - 20
21 - 40
41 - 99
100 - 300
300+
Race and Gender Demographics of your Staff
Additional Information
Please share any other information about your organization that you would like us to know.
Equity Work at your Organization
Your Reason for Reaching Out:
Briefly share what motivated you to reach out for organizational support and training on racial inclusion and equity.
What has been done?
Please list, and briefly describe, any previous education and/or work your organization has engaged in related to racial justice or inclusion and equity. (if any)
Is there a group of people within your organization dedicated to working on equity issues? If so, please briefly tell us about it.
How would you assess top leadership support and buy-in to move racial inclusion and equity work forward in your organization?
Please select a number between 1 and 5, with 1 being Minimally Supportive, and 5 being Fully Committed.
1
2
3
4
5
Please briefly comment on your assessment of top leadership support:
How would you assess general staff support and buy-in across roles to move racial inclusion and equity work forward in your organization?
Please select a number between 1 and 5, with 1 being Minimally Supportive, and 5 being Fully Committed.
1
2
3
4
5
Please briefly explain why you gave the rating above:
What are some of your expected outcomes as you move toward transformation for inclusion and equity based in racial justice in your workplace?
Please describe the type of service that you are requesting from the Race & Gender Equity team (i.e. organizational change support, staff training and development, leadership skill building, equity change consultation, strategic planning, etc.)
Include information on when you hope the service to be initiated, and the amount of time that your organization anticipates allocating to this work.
To what extent has your organization dedicated (or intend to dedicate) adequate and sustainable resources/budget to support equity work?
Is there anything else you would like to share with us prior to your intake interview? (questions, additional information, initial concerns, etc.)
If there are any documents or files that you would like us to see as part of our review of your inquiry, feel free to upload them here.