Kindness Certified Company - Annual Self-Certification Survey

Each Kindness Certified Company is asked to complete the below annual self-certification survey.

If you wish to be considered for the inaugural Kind Company Inspiration Award (as part of the CBAD Awards held by the Carlsbad Chamber of Commerce on May 20, 2022) please be sure to answer all questions, providing additional details of your projects and initiatives.

Thank you kindly!

Company Name

First Name

Last Name

Role

We certify that we uphold the values and fulfilled the Kindness Certified Company requirements:

We are good to our people:

Yes, we embrace diversityYes, we communicate with respect and kind wordsYes, we celebrate and honor one another

How are you good to your people?

We support our community:

We made an annual donation to the following nonprofit organization(s) serving our local community:

Nonprofit organization:

We volunteered for the following community service project(s):

Please list at least one community service project. Thank you.

Please upload photos of your community service project(s)

We are kind to our planet:

Yes, we make environmentally-conscious decisionsYes, we take earth-friendly actions

Please describe your earth-friendly actions.

We create a better world:

Yes, we create a kinder and more compassionate world!

Is there anything else you'd like to share to demonstrate your positive impact?

Did you participate in The Great Kindness Challenge using the provided business-focused kindness checklist?

YesNoDidn't know about it

Signature*

Date

*By typing your name in the signature field, you are affirming that your company has upheld the values and fulfilled the Kindness Certified Company requirements to the best of your ability.

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