Organization Information

Organization Name

Total number of employees at your organization

Sector

Industry

Please choose the industry that BEST represents your organization.

City

State/Province

Contact Information

First Name

Last Name

Role/Title

Phone

Inquiry Context

Approximate number of participants

Preferred program start date

Please provide an overview description of participants (i.e. professional level, racial/ethnic make up, etc.).

Please provide any additional information that would be helpful to our discovery process. (Ex. Are there current, or have there previously been, any Diversity, Equity, & Inclusion efforts in the organization?)

Is there someone we can thank for connecting you to YW Boston?