MBA Diversity and Inclusion Leadership Award Form

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Thank you for your interest in the Diversity & Inclusion Leadership award. This form must be completed and submitted by Wednesday, July 31, 2019.

You may need to fill this form out more than once if you are applying for more than one award.

* Denotes required fields.

MBA Member Company Name: *

Company Award Point of Contact Information

Name: * Title:

Phone: * Email: *

Senior-Level Executive Information:

Please provide the name, title, and email address of the senior-level executive(s) who will accept the award for your company at the MBA Annual Convention, October 27-30, 2019 in Austin, TX. If you cannot provide a name at the time of application, please note that the MBA requires a senior-level executive and/or a representative of the winning program, initiative, or strategy to accept the award in-person during the Annual Convention.

Name: * Email: *

Title:

For which Diversity Leadership Award category are you submitting this nomination?

Category:

Select from the drop down below to indicate the number of employees at your company.

Employees:

Name of diversity program, initiative, or strategy:
Include names and titles of direct management and/or executive management involvement, and other individuals directly involved with the program, initiative, or strategy

: How long has the program or initiative been in place?: Who is the target audience/constituency?: What resources have been committed to the program, initiative or strategy?: What are the program, inititative, or strategy's key goals and measures of success?:

Detailed Description:
Please upload a detailed description in no more than four pages of the program, initiative, strategy or individual/team efforts to include. Your response should explicitly address the following:

a. Describe what you have done to advance the program, initiative, or strategy's goals.
b. Explain what results you have achieved; make sure to include specific data.

Upload File: * Based on my knowledge, all the information contained in this application is current and accurate. Please check this box: *

Application Moratorium:
Winners of a 2018 Residential Diversity & Inclusion Leadership Award may not apply again for the subsequent two years, regardless of category. 2018 winners will be eligible to apply again during the 2021 Residential D&I Leadership Awards season.

MBA Diversity and Inclusion Leadership Award Form

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