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Melissa A. Little Consulting & Mediation Services LLC
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Email
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Your email
What's your name?
Your answer
What's your phone number?
Your answer
Where do you work? (Company Name)
Your answer
Where is your organization located?
Your answer
What is the sector of your organization?
For Profit Organization
Nonprofit Organization
Community/Grassroots
Educational Institution
Law Firm
Government
Other:
Tell us more about your organization and why you and/or your organization seek DEI services and/or mediation?
Your answer
Please identify the type of training your organization would like to receive
Microaggressions in the Workplace
Follow-up Facilitated Workshops on Identifying and Responding to Microaggressions (upon completion of the introductory course)
Introduction to DEI and Unconscious Bias
Cultural Awareness
Building an Inclusive Workplace Culture
Inclusive Leadership Training
Option 7
Other:
How many participants will be attending the training?
Your answer
Are you interested in other services?
Review of Policies and Procedures
Diversity Recruiting and Retention Services
Ongoing Consultation
Mediation
Facilitated Workshops/Strategic Planning
Organizational Cultural Assessments
Equity Audits
Personalized Self-Paced Online Courses
Speaking Engagement
Other:
When would you like for this service to begin?
MM
/
DD
/
YYYY
Time
:
AM
PM
What do you hope will be accomplished at the conclusion of your service?
Your answer
If your organization has done DEI work in the past, please share the practitioner and describe the training that was provided.
Your answer
How did you hear about us?
Your answer
Anything else you want to share?
Your answer
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