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Thank you for your interest in working with us!
To determine whether we think our services will be a fit, we would like to find out a little bit more about you.
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Email
*
Your email
Your Name and Title
*
Your answer
Name and Website of Organization/Company/Business
*
Your answer
Organization Size
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<10
10-30
30-50
50+
Tell us about your organization/business (services/products) and your current role.
Your answer
Tell us about the demographics of your organization’s staff team - specifically related to gender, race, and age.
Your answer
Share three words that describe your organization’s key values or culture.
Your answer
Tell us more about the current state at your organization. Specifically, your approach and discussion of Diversity, Equity and Inclusion
Your answer
What might be some hesitations or obstacles to this work at your organization?
Your answer
What is your timeline for this work?
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Your answer
Do you have a budget for this work? If so, what is it?
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Your answer
What degree of buy-in do you have from the leadership in your organization to invest time, money, and resources in DEI, leadership development and/or greater organizational change?
No buy-in
1
2
3
4
5
6
All the way bought in
Clear selection
What type of programming and support are you looking for? (Click all that apply)
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Individual or Leadership Coaching & Consulting
Multi-day or Series of training sessions
Facilitate racial affinity spaces
6 Month+ Longterm DEI Development Plan including training
Retreat faciltiation
Event or conference speaking/facilitation
Other:
Required
Topics interested in or looking to address, check all that apply.
Workplace Culture- meeting norms, communication norms, inclusion measures needed, language accommodations, etc.
DEI within Leadership- How is power shared among org. leaders? What does transparency and accountability look like? What further DEI development is needed?
Emotional & Cultural Intelligence
Staff and Board Relations- power dynamics between staff and board, what kind of board development is needed to parallel staff development?
Communication and conflict resolution skills
Ongoing DEI Development- DEI committee formation, potential DEI facilitation or curriculum at each staff session, ongoing org. DEI development needed
Long-term Planning within your Org- scheduling more time for pauses to reexamine DEI within the org, or for organization-wide break times
Systems of Oppression and Forms of Power
Organizational Assessment, Audit and Accountability around DEI practices
Governance Restructuring- staff team, board, or a mixture of both
Volunteer or Community Member DEI Development
Other:
Are there any topics that aren't mentioned above that you believe should or want to be addressed?
Your answer
Please describe in more detail what kind of programming or services you are hoping for (i.e further clarify your selection above).
Your answer
How did you hear about us? (Check all that apply)
Facebook
Instagram
Internet search
From someone at my organization
From someone in my community
From someone at Building Bridges
Other:
Please share name, email, and role for the person or people who will be our main point(s) of contact.
Your answer
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