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Breastfeeding Friendly Employer Award Application
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* Indicates required question
Email
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Your email
Business Name
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Your answer
Business Address
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Your answer
Contact Name and Title
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Your answer
Contact Phone Number
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Your answer
Do you have a supportive employee lactation policy to share with the Awards Committee for review? You will be asked to attach this policy to your confirmation email.
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Yes
No
Other:
Please describe the spaces that you make available for milk expression.
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Your answer
How are supervisors and employees informed as to the culture of support and accommodations available?
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Your answer
Are there special services that you provide such as classes, lactation consultants, equipment or accessories that enhance this employee benefit?
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Your answer
Do the accommodations for lactating employees extend to others who come into contact with your business such as visitors or customers?
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Your answer
Please tell us how you heard about this award!
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Your answer
A copy of your responses will be emailed to the address you provided.
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