Members

    Company Name

    Company Address

    Company Contact

    Name


    Title

    Email Address

    New or Returning Member

    Please select the pillars that aligns
    with your organization’s priorities.

    Select all that apply:

    What is the total number of individuals your company employs full- or part-time in the state of Minnesota?

    Please provide the name, title, and email Address of the individuals holding the following positions:
    Chief Executive Officer

    Name

    Email Address


    Chief Human Resource Officer (or equivalent position)

    Name

    Title

    Email Address


    Chief Diversity/Equity Officer (or equivalent position)

    Name

    Title

    Email Address


    Supplier Diversity Leader

    Name

    Title

    Email Address


    Community Engagement / Corporate Leader

    Name

    Title

    Email Address


    Government Relations/Public Affairs Leader

    Name

    Title

    Email Address


    Black Employee Resource Group (ERG) Leader

    Name

    Title

    Email Address