YWCA Great Lakes Bay Region - InterACT Diversity, Equity, & Inclusion Interest Form
Thanks for your interest our InterACT Diversity, Equity & Inclusion Program! Thanks to our generous funders at Dow, Enbridge and other local foundations we have availability for 10 local, smaller nonprofits to take part in our InterACT Program free of charge in 2022. (The nonprofit team, departement or organization must be less than 30 people in order to qualify.) If you are interested and work for a for-profit, or larger nonprofit, call us at 989-894-9055 for a quote or more information! We provide this training on a fee-for-service basis too. Please complete the following survey:
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Organizaation
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How many people are on staff at your organization?
Has your team taken part in any similar training or exercises in the past 2-3 years? (Unconscious bias training, Diversity & Inclusion discussions with an outside organization/consultant?)
Yes
No
I'm not sure
Would this work be done with a department/team or for the entire organization?
Department or Team
Entire organization
Our Board of Directors
This program takes a minimum of 2 hrs (90 minutes minimum for group presentation, 30 minutes for individual debriefs.) Are you able to commit to taking this time to take part in this program?
Yes
Lets talk! I have some questions/need something different for my team
Policies: All results are confidential, Individual debriefs are done after the group presentation, and the facilitator shares the results during the meeting (not before).
I agree
I need more information before I can agree to this policy. Lets talk more!
When would you like to start the process? (Enter month or specific date)
Anything else you'd like to share?
Submit
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