Chicagoland DEI Alliance Membership Interest Form

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By completing this form, you acknowledge that you wish to receive communications from the Chicagoland DEI Alliance, including its current volunteer team.

*we acknowledge that various institutions use different terms for DEI, including but not limited to READI, JEDI, EDI, D&I, and more. We use DEI as a standard, recognized industry term, but in no way limit the idea of DEI to the acronym's limitations.

First Name *

Last Name *

Email Address *

Company Name *

Professional Title/Role *

Years in your current role *

1-2

2-5

5-10

10+

Are you interested in being a formal member of the Chicagoland DEI Alliance? *

Yes

Maybe, I need more information, please send it to me

Maybe, I need more information; please contact me to set up a meeting to discuss this

I am not, but there is someone at my organization who is more suited to doing this on our behalf (please complete the next question)

Other:

Are you interested in being a member of a Chicagoland DEI Alliance board or advisory council in the future? *

Yes

I'm not sure, I'd need to learn more

Other:

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