Section 1 of 5 in this document
Business Information
Name of Business
*
Address of Business
Address or Location
Contact Name
*
Contact Phone Number
*
Contact Email Address
*
Brief Description of Business
*
Section 2 of 5 in this document
Section 1. Hiring & Recruitment Practices (40 points total)
1. Does your business actively recruit and hire people with disabilities? Please describe.
*
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Yes
No
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2. Does your business include disability-inclusive language in job postings? Please describe.
*
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Yes
No
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3. Are your interviews and application processes accessible (e.g., alternative formats, accommodations on request)? Please describe.
*
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Yes
No
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4. Does your business have a dedicated hiring initiative or partnership to employ people with disabilities? Please describe.
*
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Yes
No
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Section 3 of 5 in this document
Section 2. Career Growth & Employee Support (40 points total)
1. Does your business offer mentorship, leadership, or advancement opportunities for employees with disabilities? Please describe.
*
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Yes
No
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2. Are employees with disabilities represented in leadership or management roles in your organization? Please describe.
*
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Yes
No
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3. Does your business provide disability-inclusive benefits (e.g., flexible work schedules, disability leave policies)? Please describe.
*
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Yes
No
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4. Does your business have an Employee Resource Group (ERG) or support network for employees with disabilities? Please describe.
*
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Yes
No
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Section 4 of 5 in this document
Section 3. Commitment to Disability Inclusion & Advocacy (40 points total)
1. Does your business engage with disability advocacy organizations or initiatives? Please describe.
*
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Yes
No
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2. Does your business actively seek and act on feedback from employees with disabilities? Please describe.
*
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Yes
No
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3. Has your business publicly demonstrated a commitment to disability inclusion (e.g., statements, reports, policies)? Please describe.
*
Would you like to attach any supporting documents for question 3?
Yes
No
Attach supporting documents for question 3. Once you have selected your documents, click the Upload button to upload them to this application.
4. Does your business work year-round to continually improve disability inclusion? Please describe.
*
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Yes
No
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