Proud Coaching Application
Thank you for your interest in leveling up the LGBTQ+ inclusion at your company. Please provide the following information so that Eric can learn more about you and your organization.
Sign in to Google to save your progress. Learn more
Email *
First and Last Name *
Your Pronouns (How you want others to refer to you when not using your name i.e. she/her, he/him, they/them, etc.
Job Title and Company *
Your Location (and Company Location if they are different) *
Email *
Phone Number *
Brief description of the work of your company *
Estimated current number of employees *
How did you learn about Proud Coaching? *
What led you to apply to this program? *
Has your company hired DEI (Diversity, Equity, & Inclusion) consultants before? If so, what have your experiences been like? *
Does your company currently have annual LGBTQ+ staff training in place? *
What do you hope to gain through implementing full LGBTQ+ inclusion at your organization? *
What potential barriers might there be to bringing LGBTQ+ inclusion to your organization? *
Will you be the point person for your organization for this program? Are there additional people at your company you would like to be involved? *
What other info would be helpful for me to know before we connect? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Be Proud With Eric.

Does this form look suspicious? Report