2023 Trustees of Inclusive Equity Nomination Form

2023

Dr. Ralph de Chabert Trustees of Inclusive Equity Awards Nomination Form

LCCC invites the nomination of individuals, teams, or organizations that have made significant impacts operating in the areas of diversity, inclusion, and equity. Presentation of the Dr. Ralph de Chabert Trustees of Inclusive Equity (I.E.) Awards will be made on Monday, June 19th, 2023 at a special Juneteenth Celebration Gala; recognizing the results of individuals and/or teams who influence the consideration and advancement of all people.

Please complete this form by completing each section below to submit your nomination.

Nominations will be accepted until March 31st, 2023.

* Please indicate whether your nominee would qualify for I.E. Award consideration as an individual/team/organization making a significant impact in areas of diversity, inclusion, and/or equity in one of the following categories:

A company with more than 1,000 employees.

A company with 500 - 1,000 employees.

A company with under 500 employees.

Education - public & private schools, colleges, and universities.

Healthcare, medicine, or related services.

A nonprofit or community setting.

In the box below, please state the following information about your nominee: Name, title, organization, address, phone, and email

0/250

* INCLUSION: Describe ways your nominee has impacted the consideration and inclusion of people for opportunity in the workplace, business, and/or community affairs?

0/500

* EQUITY: Describe how your nominee has been successful as a leader or advocate for creating access and economic advancement within the business world or in the community they serve.

0/500

* DIVERSITY: Describe what impact your nominee has made toward promoting awareness of individual contributions: regardless of race, religion, gender, sexual orientation, or ethnic background.

0/500

* What three (3) words best describe your nominee?

0/250

Additional Comments?

0/500

* Please enter the name and contact information (phone number, email, address, and organization) of the individual making this nomination. By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

0/500

Submit Survey