Honor Roll Application
The Honor Roll Award for Women's Representation raises the bar for women’s leadership in the C-Suite and board room. To recognize Executive Alliance’s 30th anniversary, Honor Roll companies must have AT LEAST 30% of their executive leadership AND 30% of their board of directors seats held by women. By applying for this award, you attest that all information is accurate. Information provided on this form may be used by Executive Alliance in the corresponding event publication and/or presentation.
To save your entry and complete this form later: select "save" at the bottom of this form.
Your Organization Name
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Your Name
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First Name
Last Name
Your Title
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Title
Your Email
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example@example.com
Your Phone Number
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Please enter a valid phone number.
Location of Organization's Headquarters
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City & State
Your Organization's Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name & Title of CEO, President or Executive Director
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Name
Title
Please upload a headshot of your CEO, President or Executive Director
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Please upload the logo for your organization
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Your Organization Social Media Profile URLs
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Industry Sector
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Please Select
Energy
Industrials
Utilities
Healthcare
Financials
Consumer Discretionary
Consumer Staples
Information Technology
Consulting
Communication Services
Non-Profit
Real Estate
Law
Other
Company Size
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Please Select
Small
Medium
Large
What is the strategic importance of managing diversity equity and inclusion, in at least two of its components (gender and ethnicity?
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Top Board priority, and part of the Board Chair's own agenda for recruiting board members
Top corporate priority, an element of the CEO's own agenda
Not an overall company priority, but a Human Resources Department priority
Not a corporate priority
Honor Roll Criteria
C-Suite Representation
Provide the name and demographic information for all C-level employees. At least 30% of C-Suite employees must identify as women.
C-Suite Names & Demographics
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Board Representation
Provide the name and demographic information below for all Board directors. At least 30% of directors must identify as women.
Board Member Names & Demographics
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Does your Board have term limits?
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Yes
No
If so, what are the Board term limits?
Does your Board have a mandatory retirement age?
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Yes
No
Retirement Age:
Commitment to Women
As an organization, explain how you behave intentionally and communicate with your leadership team, employees, customers and stakeholders your organization’s commitment to diversity, equity and inclusion for all women.
Commitment to Women
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Creating a Path
Describe how those programs and initiatives have helped to mentor, empower, and advance opportunities for growth for women.
Creating a path
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Please check any programs & initiatives that your organization currently has in place
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Bonus compensation tied to KPI's for DEI
Measurement/audit of workforce pay equity
Awareness workshops for Executive Management
Awareness workshops for Middle Management
Special Programs for employee/business resource groups
DEI Recruitment
Assessment processes
Onboarding of new hires
HR processes (trainings, promotions etc.)
Adaptation of work practices remote or hybrid (schedules etc.)
Internal communication
External communication
Other types of initiative
None of these programs and initiatives at presen
Enter your "other" types of initiative your organization has in place
Leadership
Describe specific activities and processes your organization has to ensure women are included and supported in senior leadership roles. Provide supporting data.
Leadership
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Any additional information
Is there any additional information you would like the selection panel to know? Please describe below or upload any supporting documentation.
File Upload
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Optional information
Please list the name and contact information for any women-focused programs or groups within your organization (Name, website and contact information).
women-focused programs or groups within your organization
Should we include these programs in Executive Alliance's annual Women's Resource Guide?
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Yes
No
Would you like to learn about Executive Alliance through our Accelerate Women emails?
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Yes
No
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