Nominee Information
Name of Organization/Business
Website Address
Address of the Organization/Business
City, State Zip
Years in Existence
Number of Employees in Miami-Dade County
Nominee Contact Name
Nominee Contact's Title
Nominee Contact's Phone Number
Nominee Contact's Email Address
Nominator Information:
Nominator Name
Nominator Title
Nominator Relationship to Nominee
Nominator Phone Number
Nominator Email Address
Nominee's Leadershp
What is the nominee's Mission Statement?
Do the Vison & Mission Statements support or encourage diversity & inclusion? If so, please explain.
Is diversity & inclusion part of the organization's strategic plan?
HOW DIVERSE IS THE ORGANIZATION'S BOARD OF DIRECTORS? What is the board's composition, in percentages, for each of the following four categories:
If the organization does not have a board of directors please select "not applicable" below.
-----------------
Not Applicable
Gender.
% Male
% Female
Race
% Hispanic or Latino
% White (not Hispanic or Latino)
% Black or Arfrican American (not Hispanic or Latino)
% Native Hawaiian or Other Pacific Islander (not Hispanic or Latino)
% Asian (not Hispanic or Latino)
% American Indian or Alaska Native (not Hispanic or Latino)
% Two or More Races (not Hispanic or Latino)
Veteran Status
% Veterans
% Non-Veterans
Disabled Status
% Disabled
% Not Disabled
HOW DIVERSE IS THE ORGANIZATION'S TOP MANAGEMENT? (The top 5% to 10% of managers) What is top management's composition, in percentages, for each of the following four categories:
gender
% Male
% Female
Race
% Hispanic or Latino
% White (not Hispanic or Latino)
% Black or Arfrican American (not Hispanic or Latino)
% Native Hawaiian or Other Pacific Islander (not Hispanic or Latino)
% Asian (not Hispanic or Latino)
% American Indian or Alaska Native (not Hispanic or Latino)
% Two or More Races (not Hispanic or Latino)
Veteran Status
% Veterans
% Non-Veterans
Disabled Status
% Disabled
% Not Disabled
Vendor Relationships
How Does the Organization Support Female and/or Minority Vendors & Suppliers?
Workforce Diversity:
Is there a diversity & inclusion recruitment program in place?
Yes No
If yes, please describe a description of the program.
Does the organization welcome returning veterans?
Yes No
If yes, please list activites along with examples and/or specific partnerships, as applicable.
List examples of reasonable accommodations, if any, the nominee has made for its employees?
How does the nominee embrace, celebrate, and include diverse people in the workforce?
Are special diversity events held?
Yes No
If yes, please explain.
Is diversity & inclusion featured in the company's newsletters or communications?
Yes No
If yes, please explain.
Please share any specific diversity & inclusion on-boarding procedures that are in place.
How diverse is the overall workforce? What is the general workforce's composition, in percentage, for each of the following four categories:
gender
% Male
% Female
Race
% Hispanic or Latino
% White (not Hispanic or Latino)
% Black or Arfrican American (not Hispanic or Latino)
% Native Hawaiian or Other Pacific Islander (not Hispanic or Latino)
% Asian (not Hispanic or Latino)
% American Indian or Alaska Native (not Hispanic or Latino)
% Two or More Races (not Hispanic or Latino)
Veteran Status
% Veterans
% Non-Veterans
Disabled Status
% Disabled
% Not Disabled
Training & Development
Is there a training & development plan geared to the development of women, minorities, and other diverse groups? If so, how does the program work?
Is there a career development program in place? If so, please explain.
Are networking and support groups offered? If yes, please explain.
Is there a mentoring program offered?
Yes No
If yes, please share how it targets and supports diverse individuals.
Community Relations
How does the nominee encourage diversity in the community? Does it lead or support community projects? Please share specific details.
Does the nominee offer scholarships related to diversity & inclusion or to diverse communities? If so, please share specific details.
Does the organization encourage employee volunteerism that supports diversity? If so, please describe how and provide examples of the activites.
Does the organization offer a mentoring program to individuals in the community? If so, please explain.