Program Intake Form
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Participant Information
Full Name
Role/Position
Organization
Email Address
Phone Number
Preferred Payment Method
Direct Bank Deposit / Interac e-Transfer
Credit Card
Purchase Order with Quote
Corporate Cheque
Will you be signing up multiple people from your organization?
Yes
No
Additional Participants' Names and Contact Information
Institutional Demographics
Total Organization Headcount
Primary Industry Sector
Unionized vs. Non-Unionized Environment
Unionized environment
Non-unionized environment
Both (mixed union and non-union)
Number of Seats Allocated to this Cohort
Accountability & Authority
Does your team have a dedicated, board-approved budget for reconciliation or DEI initiatives?
Yes
No
Who holds the final sign-off authority for internal human resource policy updates?
Policy Baseline Audit
Does your company currently possess a formalized Reconciliation Action Plan (RAP)?
Yes
No
Do your standard hiring rubrics value land-based or transferable community experience?
Yes
No
Sourcing & Hiring Gaps
What is the primary operational hurdle your team faces when attempting to integrate inclusive values into your recruitment pipelines?
Workplace Safety & Retention Health
Where does your organization experience the highest level of cultural or relational friction?
Manager burnout and relational fatigue due to intense corporate deadlines overwriting relational connection
Siloed communication tracking or potential identity gatekeeping from clients and internal personnel
Lack of a structured, reciprocal offboarding system to accurately capture why diverse talent leaves the division
Governance & Leadership Style
How would you characterize your executive board’s current approach to strategic decision-making?
Collaborative, consensus-based circular accountability frameworks
We're moving toward a decolonized framework, and we're halfway there
We're moving toward a decolonized framework, but we don't know where to start
Traditional colonial, top-down bureaucratic models
Consent
By completing this operational registration audit, I grant Edified Projects Inc. permission to aggregate this baseline data anonymously for program evaluation tracking, cohort benchmarking, and ongoing harm-mitigation analytics.
I consent
I do not consent