LEI Commitment to Caring Pledge

LEI Commitment to Caring Pledge

I, in an executive role, pledge to take action and commit my organization to caring for LGBTQ older adults by creating an inclusive, welcoming and culturally competent and responsive environment, free from discrimination. With this pledge, our organization is committing to taking intentional steps toward adopting policies and practices that foster, cultivate and preserve a culture of diversity, inclusion, fairness and equality for all of our residents and staff, including those who identify as LGBTQ. As the first step in this process, I pledge that our organization will complete the Long-Term Care Equality Index’s online self-assessment within three months of my signature.
Organization Information

Please tell us a little bit about your organization.
What Type of Organization are you signing the Commitment to Caring Pledge for? *

An Individual Residential Long-Term Care Community/Facility A Senior Living & Care Corporation (i.e. a parent organization that owns or operates multiple individual residential long-term care communities/facilities)
Number of Long-Term Care Communities in your Corporation
Thank you for your interest in the Long-Term Care Equality Index. The LEI is designed for residential long-term care communities. Since your organization is not a residential long-term care community, you do not need to sign the Commitment to Caring Pledge (however, we still encourage you to adopt LGBTQ inclusive policies and practices in your organization.).

If you are a national, statewide, or regional aging, senior services, or LGBTQ membership or advocacy organization, we encourage you to sign on to our Endorsing Organization pledge instead.

If you would like to join our email list to stay informed about the LEI, sign up here.
Organization Name *
Name of Parent Organization
Address *

Street Address

Street Address Line 2

City State

Postal / Zip Code Country
Website *
Type of Community/Services provided (please check all that apply) *

Continuing Care Retirement Community Independent Living Assisted Living Skilled Nursing Memory Care Hospice (Facility-based)
Contact Information

Please tell us a little bit about yourself. Please note that the Commitment to Caring Pledge should be signed by an executive from the organization.
First Name *
Last Name *
Title: *
Work Email: *
How did you hear about the LEI? (Check all that apply)

LinkedIn Facebook From a colleague At a conference Online search Online article
Signature
* Please check this box to acknowledge the commitment and then sign in the box below. *

By submitting this form, I, an executive at my organization, am signing the Long-Term Care Equality Index's Commitment to Caring Pledge on behalf of my organization and will begin the process of adopting policies and practices that foster, cultivate and preserve a culture of diversity, inclusion, fairness and equality for all of our residents and staff, including those who identify as LGBTQ. As the first step in this process, I pledge that our organization will complete the Long-Term Care Equality Index’s online self-assessment within three months of my signature.
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LEI Commitment to Caring Pledge

Organization Information

Contact Information

Signature