Y Connect Diversity and Inclusion Packages Application Form

Name of Organisation(Required)

Address(Required)

Street Address Suburb Postcode

Name of person submitting application(Required)

First Last

Position of person submitting application(Required)

Email of person submitting application(Required)

Phone number of person submitting application(Required)

Please provide a brief description about the type of organisation and the sector your organisation works in.(Required)

What is the number of employees at the organisation (include full-time, part-time and casual)?(Required)

How many employees work in the Toowoomba region?(Required)

Does your organisation currently have a diversity and inclusion policy or plan, or a disability action plan, or include diversity and inclusion principles in a social responsibility commitment?(Required)

Yes

Please provide details

Would you consider your organisation to be a disability inclusive and diverse workplace?(Required)

Please note there is no right or wrong answer to this question. The aim of this question is to help the panel understand where your organisation is in relation to disability diversity and inclusion.

Is your organisation committed to employing people with disabilities at all levels within your organisation?(Required)

Yes

Unsure

Is there a key contact within your organisation that can commit up to 10 days’ worth of time to work with Inclusion Access in this process?(Required)

Yes

Please note the amount of time will vary depending on the size of the organisation and other details such as whether there are existing plans and policies.

Is the key contact during this process the same person doing this application?(Required)

Yes

Name

First Last

Position

Does your organisation have management and/or executive leadership support for this work?(Required)

Yes

Please upload letter of support(Required)

Max. file size: 64 MB.

Is your organisation able to complete this work before 1 July 2024?(Required)

Yes

If successful, are you able to demonstrate your commitment to disability inclusion and diversity once this work with Inclusion Access has been completed? Please provide details.(Required)

Please note that the selection panel is aware that this may be the first time your organisation is focusing on inclusion and diversity, and you may not know yet how you can continue this work.

How did you hear about this opportunity?(Required)

CAPTCHA

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