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Thank you for your interest in working with Building Bridges Shift in 2022!
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
*
<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 of Diversity, Equity and Inclusion at your organization.
Your answer
What might be some hesitations or obstacles to this work at your organization?
Your answer
What is your timeline for this work?
*
Your answer
Do you have a budget for this work? If so, what is it?
*
Your answer
What degree of buy-in do you have from the leadership in your organization to invest time, money, and resources in DEI development?
No buy-in
1
2
3
4
5
6
All the way bought in
Clear selection
Have you or anyone on your team participated in Building Bridges Groundwork?
Yes
No
Clear selection
What type of programming are you looking for? (Click all that apply)
*
Single day training
Multi-day training
Series of training sessions
6 Month+ Longterm DEI Development Plan
DEI Coaching & Consulting
Required
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 Building Bridges Shift client services? (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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