This form includes registration and background information for CEOs and executives interested in a Diversity in Leadership listening session. The information shared below is confidential and we will only use it to place you in a peer discussion group for your listening session.

Name *
Name
Availability (Pick at least one date.) *
Let us know which dates you are available to participate in a Diversity in Leadership listening session.
We realize every leadership team is at a different place on the continuum of diversity, equity and inclusion. By answering the following three questions, we’ll try to pair you with a peer group for the discussion. Answers are confidential and will not be shared.
2. What diversity, equity and inclusivity (DEI) actions has your organization taken in the last year?
What portion of your annual budget is committed to diversity, equity and inclusion programs?
We'd like to know about the composition of your executive team and direct reports. Not your company overall. ___ White ____ Black ____ Asian/Pacific Islander ___ Hispanic ____ Native American ___ Mixed Race ____ Other ____ Don't Know