EDI Committee Interest Form

First and Last Name

Phone Number

Email

Company Name

Do you identify as an ethnic minority? If so, how?

How did you learn about the MPI GA Supplier Diversity Initiative?

Are you currently involved with any non-profit organizations?

Yes

No

If you answered yes to the previous question, which non-profit(s) are you invovled with?

MPI Georgia currently supports Covenant House Georgia. Would you like to learn more about Covenant House Georgia?

Yes

No

Do you consent to allowing members of the Community Outreach committee reach out to you when volunteer opportunities become available?

If so, please select the checkbox.

Send me a copy of my responses

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