DEI Supplier form

Supplier Name:*

Street*

Street 2

City*

State*

Zip*

Phone*

Phone

Email*

Completed By*

Completed-By Title*

Our Diversity Definition

For Purposes of this survey, we define diversity as:

African American

Asian Indian

Asian Pacific

Hispanic

Native American

Female

LGBTQIA+

Veterans

Disabled

Are you a diverse company? (at least 51% ownership, operated, or controlled by)*

Select

Diverse Category (Choose All that apply):*

Select

Please describe when answering "Other" in field "Diverse Category"*

Do you measure your annual spend with diverse businesses?*

Select

What percentage of that spend is with such businesses?*

What is the percentage of your total workforce is comprised by diverse employees?*

What is the percentage of your management positions (manager, director, and above, excluding C-Suite) are held by diverse employees?*

What is the percentage of your executive leadership (CSuite, VP and above) are held by diverse employees?*

Please briefly describe any measurable actions you have taken recently or currently undertaking to advance diversity, equity, and inclusion in your workplace?*

Does your company maintain any DEI certifications?*

Select

If so, please identify the certifications*

DEI Certifications Upload

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