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Breastfeeding Friendly Employers and Community Partners
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Email
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Your email
Business/Organization Name
Your answer
Point of Contact Name
Your answer
Point of Contact 10-Digit Phone Number
Your answer
Business Street Address
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City
Your answer
Zip
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Number of Employees
1-10
11-20
21-50
51-100
101-200
201-300
300+
Hourly Employees
Salaried Employees
Per Diem Employees
1-10
11-20
21-50
51-100
101-200
201-300
300+
Hourly Employees
Salaried Employees
Per Diem Employees
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The Community Partner award is for organizations that support breastfeeding customers or patrons. The Employer Award is for businesses that support lactating staff members. Organizations/Businesses may apply for both or just one. Please select all that apply for your business.
We are applying for the Community Partner Award only.
We are applying for the Employer Award only.
We are applying for both awards.
For the Community Partner (for supporting breastfeeding customers/patrons), please select all supportive practices that apply:
Required for Award: We do not advertise infant formula or related products directly to consumers.
Required for Award: Breastfeeding mothers are always welcome and respected. They will never be treated poorly, asked to stop breastfeeding, or asked to cover up or move.
We would like to display a "Breastfeeding Welcome Here" window cling from NCBC.
Optional/Recommended: Breastfeeding customers have access to a private space for expressing milk or nursing. The space is NOT a bathroom, and is lockable and shielded from public view.
Optional/Recommended: We have a written breastfeeding support policy, and orient our staff to its principles to ensure appropriate treatment of families.
Optional/Recommended: Our staff are educated on the rights and needs of breastfeeding moms and babies.
Optional/Recommended: We offer print materials for local breastfeeding resources for our customers.
Optional/Recommended: We display breastfeeding promotion materials.
We are only applying for the workplace award.
Other:
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