Audit Express DEIB Program Application Form

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Please complete the following application form to apply for our Diversity, Equity, Inclusivity, and Belonging Program. This program is designed to assist businesses in developing and implementing effective policies, processes, and controls to promote diversity, equity, inclusivity, and belonging within their organisations.

Application Details

Registered Name *

Trading Name *

ABN *

Sector (Education, Healthcare, Hospitality etc) *

Trading Address *

Suburb *

State *

Postcode *

Contact Name *

Contact Number *

Email Address *

Position of person applying *

Application Questions

1. Provide an overview of the organisation. Max. 500 characters. *

2. Explain why the organisation is applying for the Program. Max. 500 characters. *

3. How would you describe your current policies, practices and controls relating to DEIB? Max. 500 characters. *

4. Describe the specific goals or outcomes that your business aims to achieve through participation in the DEIB Program. Max. 500 characters. *

5. Please identify any challenges or barriers that your business faces in promoting DEIB within your organisation. Max. 500 characters. *

Please confirm that you have the capacity and resources available to commence the Program by 1 June 2023. *

Signature

By signing below, I confirm that the information provided in this application is accurate and complete and I am authorised to submit this application for the Program.

Signature *

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Name *

Date *

KEY TERMS & CONDITIONS

By applying to be part of this Program under the funding of GLOBE Victoria, you agree to be part of the case study that will be presented to GLOBE Victoria. The details that will be shared with GLOBE Victoria will be kept private and confidential. They will be only for the purpose of reporting. *

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