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DEI/ERG Interest Form
Staff are encouraged to discuss participation with their manager.
Please be aware that employees must have completed their 90-day probation period to be eligible to join an ERG.
*
1.
First and Last Name
(Required.)
2.
Pronouns
*
3.
GBMC Email Address
(Required.)
*
4.
Employee ID
(Required.)
*
5.
Department / Unit
(Required.)
*
6.
Manager Name
(Required.)
*
7.
Which ERG are you interested in joining?
(Required.)
Black Alliance ERG
Greater Pride ERG
Neurodiversity ERG
Women's Leadership Alliance ERG
NA-Interested in starting a new ERG
Hispanic Heritage ERG
Filipino Heritage ERG
DEI Planning Committee
Caregivers ERG
Provide a brief description of the new ERG you would like to explore starting.
*
8.
Why are you interested in joining this Employee Resource Group?
(Required.)
