Business Information
Name of Business
*
Address of Business
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Name
*
Contact Phone Number
*
Contact Email Address
*
example@example.com
Brief Description of Business
*
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Section 1. Hiring & Recruitment Practices (40 points total)
1. Does your business actively recruit and hire people with disabilities? Please describe.
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2. Does your business include disability-inclusive language in job postings? Please describe.
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3. Are your interviews and application processes accessible (e.g., alternative formats, accommodations on request)? Please describe.
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4. Does your business have a dedicated hiring initiative or partnership to employ people with disabilities? Please describe.
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Section 2. Career Growth & Employee Support (40 points total)
1. Does your business offer mentorship, leadership, or advancement opportunities for employees with disabilities? Please describe.
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2. Are employees with disabilities represented in leadership or management roles in your organization? Please describe.
*
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3. Does your business provide disability-inclusive benefits (e.g., flexible work schedules, disability leave policies)? Please describe.
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4. Does your business have an Employee Resource Group (ERG) or support network for employees with disabilities? Please describe.
*
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Section 3. Commitment to Disability Inclusion & Advocacy (40 points total)
1. Does your business engage with disability advocacy organizations or initiatives? Please describe.
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2. Does your business actively seek and act on feedback from employees with disabilities? Please describe.
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3. Has your business publicly demonstrated a commitment to disability inclusion (e.g., statements, reports, policies)? Please describe.
*
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4. Does your business work year-round to continually improve disability inclusion? Please describe.
*
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*
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