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DTLC Application

Thank you for considering joining the Diversity Thought Leader Community (DTLC). DTLC is an active network of Diversity, Equity, Belonging, and Inclusion consultants, facilitators, and educators that come together to share ideas, knowledge, and resources.  If you are an independent consultant, educator, facilitator, speaker, or coach in the DEBI space, we invite you to apply.

Membership fees are $12US/month for our first 25 Charter Members. Upon acceptance of your application, you will receive a payment link.

PLEASE NOTE: This application will take about 15 minutes to complete, and it must be done in one sitting. It requires basic business information and a few short questions.

Click the button below to start.

Start

Basic Information

Please enter the basic information requested in each question.

Question 2 of 18

First and Last Name

Question 3 of 18

Current physical work address:

Question 4 of 18

Do you work from home?

A

Yes

B

No

Question 5 of 18

Work e-mail address:

Question 6 of 18

Cell phone number

Question 7 of 18

Other phone numbers (indicate type, then number, e.g. "Office (xxx) xxx-xxxx")

Question 8 of 18

What is your preferred method of communication?

A

Phone call

B

Text

C

e-mail

Company Information

Please enter the information for the following questions regarding your company.

Question 10 of 18

Business or Institution Name

Question 11 of 18

Job Title

Question 12 of 18

Are you the owner?

A

Yes

B

No

Question 13 of 18

Company website:

Question 14 of 18

What type of clients do you work with?

(Select all that apply)
A

For Profit Corporations

B

Small Businesses

C

Not for Profit

D

Government Agencies

E

Educational Institutions

F

Other

Question 15 of 18

What type of diversity work do you prefer?

(Select all that apply)
A

DEI Strategy

B

Training/Facilitation

C

Coaching

D

Keynote Presentations

E

Diversity Audits/Assessments

F

DEI Communications/Messaging

G

Other

Question 16 of 18

Do you subcontract to other DEI firms?

A

Yes

B

No

Question 17 of 18

Are you IDI® certified?

A

Yes

B

No

Question 18 of 18

Why are you interested in  joining the Diversity Thought Leader Community?

Confirm and Submit