In order to ensure that our communication with you is efficient and accurate, please take a few minutes to answer the questions on this application.
Company Name: (required)
Type of Business: (required)
Please select your Responsibility level
DEI LeadDiversity & InclusionERG/BRG Executive SponsorERG/BRG LeadITManagement/LeadershipPeople Resource Center (Benefits, HR, Culture)SourcingSupplier Diversity – ProcurementTalent AcquisitionOther
Email Address (required)
Company Address (required)
Phone number (required)
Secondary Contact ERG/BRG Lead
Shared email (for members of organizations ERG/BRG (required)
Please choose the desired membership level.
Charter Member – 3-year commitmentSustaining Member – 3-year commitmentBusiness – less than 500 people – annual renewalCommunity/Non-Profit – annual renewal