Cultural competency for an organization is defined as an organization’s ability to recognize, respect, and address the unique needs, worth, thoughts, communications, actions, customs, beliefs, and values that reflect an individual’s racial, ethnic, religious, and/or social groups or sexual orientation. TO BE COMPLETED BY STAFF.

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* 1. Today's Date

Date

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* 2. Agency Environment and Leadership

  Strongly Agreee Agree Disagree Strongly Disagree
The leadership of this organization reflects the diversity of the communities it serves.
Management demonstrates that diversity is important through measurable actions.
This organization demonstrates commitment to diversity in policy and practice.
Leadership mirrors behavior I consider inclusive.

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* 3. Organization Culture

  Strongly Agree Agree Disagree Strongly Disagree
A fair workplace includes people of every race, ethnicity, religion, gender identity and sexual orientation.
Employees who are different from most others are treated fairly at this organization.
At this organization, employees appreciate others whose race/ethnicity is different from their own.
I believe diversity and inclusion is important for this organization

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* 4. Hiring and Recruitment

  Strongly Agree Agree Disagree Strongly Disagree
There is cultural diversity among the people a job candidate will meet/see on his/her/their first visit to the organization.
The way the organization promotes and communicates job openings is equitable and inclusive.
I feel comfortable in sharing open position announcements within my networks.
I believe a diverse and equitable candidate pool will have the opportunity to be considered for open positions at this organization.
I believe this organization promotes diversity and inclusion in its hiring practices.

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* 5. Career Development

  Strongly Agree Agree Disagree Strongly Disagree
Employees of different backgrounds are encouraged to apply for positions in leadership.
There is a career development path for all employees at this organization.
Professional development training opportunities in this organization are provided with equity and inclusion.

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* 6. Your Role

  Strongly Agree Agree Disagree Strongly Disagree
My experiences since coming to this organization have led me to become more understanding of racial/ethnic differences.
Since joining this organization, I have gotten to know people with racial/ethnic backgrounds different from my own.

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* 7. Policies and Procedures

  Strongly Agree Agree Disagree Strongly Disagree
The organization’s policies and procedures discourage discrimination.
I believe the organization will take appropriate action in response to incidents of discrimination.

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* 8. Interaction

  Strongly Agree Agree Disagree Strongly Disagree
Employees of different backgrounds integrate well in this organization.
Management of this organization demonstrates a commitment to meeting the needs of employees with different abilities.
Employees of different ages are valued equally by this organization.
Discriminatory/biased jokes are not tolerated at this organization.
This organization provides an environment for the free and open expression of ideas, opinions, and beliefs.

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* 9. Your Immediate Supervisor

  Strongly Agree Agree Disagree Strongly Disagree
My supervisor demonstrates a commitment to, and acceptance of, diversity.
My supervisor recognizes and addresses racism, discrimination and bias.
My supervisor handles issues about discrimination, racism and bias is an appropriate manner.

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* 10. Diversity Training Program

  Strongly Agree Agree Disagree Strongly Disagree
Education about diversity will enhance the organization’s ability to best meet client's needs in the community.
This organization has done a good job of providing training programs that promote multicultural understanding.
It is important that this agency continue providing equity and inclusion training on an ongoing basis.
I feel confident that discrimination and bias will be appropriately addressed by this organization's leadership.

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* 11. I suggest the following for the organization’s diversity training this year:

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* 12. Comments

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