Intake Form: Request for External Confidential Advisors – Holding Space Caribbean
We appreciate your trust in Holding Space Caribbean. By completing this form, you help us better understand your organization and its needs. After receiving your submission, we will gladly contact you to introduce ourselves and discuss how we can contribute to a safe and healthy workplace culture.
Contact Information
The information provided will be treated confidentially and used solely for this intake process.
Full Name
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First Name
Last Name
Organization Name
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Email Address
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Phone Number
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-
Area Code
Phone Number
About the Organization
These questions help us gain an initial understanding of your organization and the context in which we might provide support.
1. How many employees does your organization have?
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2. Does your organization currently have a Code of Conduct or a similar policy regarding unwanted behavior and integrity?
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Yes
No
3. To your knowledge, have there been any past situations involving unwanted behavior or integrity issues?
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Yes
No
4. If yes (to question 3), how were these situations handled/resolved at the time?
5. What measures have you implemented in your organization to ensure social and emotional safety?
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6. Where do you see the biggest challenges in your organization regarding social safety and integrity?
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7. What does your management structure look like?
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Hierarchical
Flat
Matrix structure
Other, please specify:
8. Is there an HR department in your organization?
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Yes
No
HR tasks are carried out by management or the executive team.
Other, please specify:
9. What is your motivation for considering the engagement of an external confidential advisor at this time?
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Please verify you are human
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Submit
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