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CHAMPIONS OF DIVERSITY AND INCLUSION SUBMISSION FORM
Please complete this form for your profile to appear in the Champions of Diversity and Inclusion section in the June 2022 issue. Deadline is April 22, 2022.
Name of firm
*Please give us your firm's name as you'd like it to be published in your profile.
Organization Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
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Yemen
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Åland Islands
Country
*Please give us the full street address you’d like to be published with your profile.
Organization Phone
*Please give us the phone number you’d like to be published in your profile.
Organization Website
*Please give us the website you’d like to be published in your profile.
Profile Text
FULL PAGE SPREAD PROFILES: Please answer the following three questions with a maximum of 100 words each. If you would prefer to upload your own 300 words of text highlighting your diversity and inclusion efforts, you are welcome to do so at the upload link following these three questions. FULL PAGE PROFILES: Please answer ONE of the following three questions with a maximum of 135 words. If you would prefer to upload your own 135 words of text highlighting your diversity and inclusion efforts, you are welcome to do so at the upload link following these three questions.
Why are diversity, equity, and inclusion important to your organization?
*Please provide up to 100 words. Responses will be edited for length, as well as tone/style.
What sets your organization apart in terms of its diversity, equity, and inclusion efforts?
*Please provide up to 100 words. Responses will be edited for length, as well as tone/style.
What are your diversity, equity, and inclusion success stories?
*Please provide up to 100 words. Responses will be edited for length, as well as tone/style.
Uploads
Please use the link below to upload your files.
Profile Photos and Logo
*
Drop files here or
Select files
Accepted file types: jpg, png, pdf, zip, jpeg, Max. file size: 512 MB, Max. files: 5.
Please upload two high-res images and your high-res logo. (Image specs: 300 dpi, .jpg format, 4x6 or larger) Captions will not be provided for any images.
Profile Text
Accepted file types: doc, txt, pdf, zip, Max. file size: 512 MB.
If you would prefer to highlight your diversity efforts with your own text, you may upload that 300-word (FULL PAGE SPREAD PROFILES) or 135-word (FULL PAGE PROFILES) file here. Responses will be edited for length, as well as for tone/style.
Optional Uploads
If you would like your profile to feature a photo of your Chief Diversity Officer (or the person who leads your diversity efforts, regardless of title) along with a SHORT quote from that person, please use the links below. NOT AVAILABLE FOR FULL PAGE PROFILES
CDO Headshot
Drop files here or
Select files
Accepted file types: jpg, jpeg, png, zip, Max. file size: 512 MB.
Please upload a head shot for your Chief Diversity Officer. (Image specs: 300 dpi, .jpg format, 4x6 or larger)
CDO Pull Quote Text
Accepted file types: doc, txt, pdf, Max. file size: 512 MB.
Please provide a SHORT 15 to 20 word quote from your Chief Diversity Officer. Please also include that person's name and title as you would like it to appear in print
Contact
*Please provide the name and e-mail address for the person we should contact with questions about your profile.
Contact Name
*
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Contact Email
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