ethoshive request form
Please fill out and submit this form to help us better understand your needs.  Once you submit the form, our team will reach out to schedule an initial interview with you for a conversation to address additional questions, learn more, and establish next steps.  We look forward to connecting with you.  

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Email *
Name *
Phone *
How would you prefer we reach out to you? *
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Organization | Company *
Help us understand what your needs are by selecting from the following: *
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Please indicate any specific dates or timeframes around your request. *
Please provide a brief description of your request. *
Tell us a little about the make-up of the group or team we will be serving. (Eg: demographics,  background, etc.) *
What is the size of your group/team/organization specific to this request? *
Could you provide us with a high-level overview of the structure of your organization and what roles the participants have within that structure? (Eg: Managers, Supervisors, Regular Employees, Faculty, Staff, etc.) *
Has the audience we will be serving had previous DEI training and/or experience? *
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If you answered yes, please give a brief description. *
Are there any current climate or DEI issues we should be aware of? *
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If you answered yes, please give a brief description. *
What is the biggest challenge you are facing with DEI efforts? *
Is there anyone in your organization with DEI work in their job description? *
If you answered yes, please list job titles and describe what their involvement in this request would be: *
Is there anything else you would like us to know? *
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