Diversity, Equity, Inclusion Consult Request
Please complete all the questions below to ensure a timely response time. Please allow seven to ten business days for a response. If this is an urgent matter please contact the CORD office directly at cord@cordem.org.
Name
*
First Name
Last Name
Position
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Institution
*
DEI Question Area
Education
Recruitment
Scholarship/Research
Retention
Other (Use the field below to explain.)
It is important for the CORD DEI Committee to track outcomes so we can determine the efficacy of our recommedations to inform future consultations. Are you willing to be contacted by a CORD DEI committee member in 6-12 months for feedback regarding your consultation experience? All information received and handled by CORD remains confidential and de-identified.
Yes
No
Submit
Should be Empty: